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"Super-shoes" are designed to improve endurance running performance by reducing the metabolic demands of running. Although the research on "super-shoes" is still developing and has mostly been studied in male runners, it is not clear how possible mediating factors, such as foot strike pattern, influence the metabolic cost and joint mechanics in competitive female runners. Purpose: The objective of this study is to assess the influence of "super-shoes" on metabolic cost and joint mechanics in competitive female runners and to understand how foot strike patter may influence the footwear effects. Methods: Eighteen competitive female runners ran four 5-min bouts on a force instrumented treadmill at 12.9 km⋅h-1 in 1) Nike Vaporfly Next% 2™(SUPER) and 2) Nike Pegasus 38™(CON) in a randomized and mirrored order. Results: Metabolic power was improved by 4.2% (P < 0.001; d = 0.43) and metatarsophalangeal (MTP) negative work (P < 0.001; d = 1.22), ankle negative work (P = 0.001; d = 0.67), and ankle positive work (P < 0.001; d = 0.97) were all smaller when running in SUPER compared with CON. There was no correlation between foot strike pattern and the between-shoe (CON to SUPER) percentage change for metabolic power (r = 0.093, P = 0.715). Conclusions: Metabolic power improved by 4.2% in "super-shoes" (but only by ~3.2% if controlling for shoe mass differences) in this cohort of competitive female runners, which is a smaller improvement than previously observed in men. The reduced mechanical demand at the MTP and ankle in "super-shoes" are consistent with previous literature and may explain or contribute to the metabolic improvements observed in "super-shoes"; however, foot strike pattern was not a moderating factor for the metabolic improvements of "super-shoes." Future studies should directly compare the metabolic response among different types of "super-shoes" between men and women. [ABSTRACT FROM AUTHOR]

Introduction/Purpose: Shoe longitudinal bending stiffness (LBS) is often considered to influence running economy (RE) and thus, running performance. However, previous results are mixed and LBS levels have not been studied in advanced footwear technology (AFT). The purpose of this study was to evaluate the effects of increased LBS from curved carbon fiber plates embedded within an AFT midsole compared to a traditional running shoe on RE and spatiotemporal parameters. Methods: Twenty‐one male trained runners completed three times 4 min at 13 km/h with two experimental shoe models with a curved carbon fiber plate embedded in an AFT midsole with different LBS values (Stiff: 35.5 N/mm and Stiffest: 43.1 N/mm), and a Control condition (no carbon fiber plate: 20.1 N/mm). We measured energy cost of running (W/kg) and spatiotemporal parameters in one visit. Results: RE improved for the Stiff shoe condition (15.71 ± 0.95 W/kg; p < 0.001; n2 = 0.374) compared to the Control condition (16.13 ± 1.08 W/kg; 2.56%) and Stiffest condition (16.03 ± 1.19 W/kg; 1.98%). However, we found no significant differences between the Stiffest and Control conditions. Moreover, there were no spatiotemporal differences between shoe conditions. Conclusion: Changes in LBS in AFT influences RE suggesting that moderately stiff shoes have the most effective LBS to improve RE in AFT compared to very stiff shoes and traditional, flexible shoe conditions while running at 13 km/h. [ABSTRACT FROM AUTHOR]

Background: Ethylene and vinyl acetate (EVA) and polyether block amide (PEBA) are recently the most widely used materials for advanced footwear technology (AFT) that has been shown to improve running economy (RE). This study investigated the effects of these midsole materials on RE and biomechanics, in both fresh and worn state (after 450 km). Methods: Twenty‐two male trained runners participated in this study. Subjects ran four 4‐min trials at 13 km‧h−1 with both fresh EVA and PEBA AFT and with the same models with 450 km of wear using a randomized crossover experimental design. We measured energy cost of running (W/kg), spatiotemporal, and neuromuscular parameters. Results: There were significant differences in RE between conditions (p = 0.01; n2 = 0.17). There was a significant increase in energy cost in the worn PEBA condition compared with new (15.21 ± 1.01 and 14.87 ± 0.99 W/kg; p < 0.05; ES = 0.54), without differences between worn EVA (15.13 ± 1.14 W/kg; p > 0.05), and new EVA (15.15 ± 1.13 w/kg; ES = 0.02). The increase in energy cost between new and worn was significantly higher for the PEBA shoes (0.32 ± 0.38 W/kg) but without significant increase for the EVA shoes (0.06 ± 0.58 W/kg) (p < 0.01; ES = 0.51) with changes in step frequency and step length. The new PEBA shoes had lower energy cost than the new EVA shoes (p < 0.05; ES = 0.27) with significant differences between conditions in contact time. Conclusion: There is a clear RE advantage of incorporating PEBA versus EVA in an AFT when the models are new. However, after 450 km of use, the PEBA and EVA shoes had similar RE. [ABSTRACT FROM AUTHOR]

Introduction/purpose: Previous results about shoe longitudinal bending stiffness (LBS) and running economy (RE) show high variability. This study aimed to assess the effects of shoes with increased LBS on RE and performance in trained and national runners. Methods: Twenty-eight male runners were divided into two groups according to their 10-km performance times (trained, 38-45 min and national runners, <34 min). Subjects ran 2 - 3 min (at 9 and 13 km·h-1 for trained, and 13 and 17 km·h-1 for national runners) with an experimental shoe with carbon fiber plate to increase the LBS (Increased LBS) and a control shoe (without carbon fiber plate). We measured energy cost of running (W·kg-1) and spatiotemporal parameters in visit one and participants performed a 3000 m time trial (TT) in two successive visits. Results: Increased LBS improved RE in the trained group at slow (11.41 ± 0.93 W·kg-1 vs 11.86 ± 0.93 W·kg-1) and fast velocity (15.89 ± 1.24 W·kg--1 vs 16.39 ± 1.24 W·kg-1) and only at the fast velocity in the national group (20.35 ± 1.45 W·kg-1 vs 20.78 ± 1.18 W·kg-1). The improvements in RE were accompanied by different changes in biomechanical variables between groups. There were a similar improvement in the 3000 m TT test in Increased LBS for trained (639 ± 59 vs 644 ± 61 s in control shoes) and national runners (569 ± 21 vs 574 ± 21 s in control shoes)withmore constant pace in increased LBS compared with control shoes in both groups. Conclusions: Increasing shoe LBS improved RE at slow and fast velocities in trained runners and only at fast velocity in national runners. However, the 3000m TT test improved similarly in both levels of runners with increased LBS. The improvements in RE are accompanied by small modifications in running kinematics that could explain the difference between the different levels of runners. [ABSTRACT FROM AUTHOR]

Eliud Kipchoge made two attempts to break the 2-hour marathon, in Monza and then Vienna. Here we analyse only the effects of course elevation profile and turn curvatures on his performances. We used publicly available data to determine the undulations in elevation and the radii of the curves on the course. With previously developed equations for the effects of velocity, slope, and curvature on oxygen uptake, we performed simulations to quantify how much the elevation changes and curves of the Vienna course affect a runner's oxygen uptake (at a fixed velocity) or velocity (at a fixed oxygen uptake). We estimate that, after the initial downhill benefit, the course led to an overall oxygen uptake penalty of only 0.03%. When compared to a perfectly level straight course, we estimate that the combined effects of the undulations and curves of the Vienna course incurred a penalty of just 1.37 seconds. Kipchoge ran 2:00:25 in Monza Italy. Comparison with the Monza course profile indicates a 46.2 second (1.09% oxygen uptake) advantage of Vienna's course while the fewer curves of Vienna contributed ~ 1 second. The Vienna course was very well-chosen because it minimized the negative effects of elevation changes and curves. Abbreviations: CoT: Oxygen cost of transport; C V ˙ O2: Curved rate of oxygen consumption; V ˙ O2: Rate of oxygen consumption; WA: World Athletics [ABSTRACT FROM AUTHOR]

The wide variation in muscle fibre type distribution across individuals, along with the very different energy consumption rates in slow versus fast muscle fibres, suggests that muscle fibre typology contributes to inter‐individual differences in metabolic rate during exercise. However, this has been hard to demonstrate due to the gap between a single muscle fibre and full‐body exercises. We investigated the isolated effect of triceps surae muscle contraction velocity on whole‐body metabolic rate during cyclic contractions in individuals a priori selected for their predominantly slow (n = 11) or fast (n = 10) muscle fibre typology by means of proton magnetic resonance spectroscopy (1H‐MRS). Subsequently, we examined their whole‐body metabolic rate during walking and running at 2 m/s, exercises with comparable metabolic rates but distinct triceps surae muscle force and velocity demands (walking: low force, high velocity; running: high force, low velocity). Increasing triceps surae contraction velocity during cyclic contractions elevated net whole‐body metabolic rate for both typology groups. However, the slow group consumed substantially less net metabolic energy at the slowest contraction velocity, but the metabolic difference between groups diminished at faster velocities. Consistent with the more economic force production during slow contractions, the slow group exhibited lower metabolic rates than the fast group while running, whereas metabolic rates were similar during walking. These findings provide important insights into the influence of muscle fibre typology on whole‐body metabolic rate and emphasize the importance of considering muscle mechanical demands to understand muscle fibre typology related differences in whole‐body metabolic rates. Key points: Muscle fibre typology is often suggested to affect whole‐body metabolic rate, yet convincing in vivo evidence is lacking.Using isolated plantar flexor muscle contractions in individuals a priori selected for their predominantly slow or fast muscle fibre typology, we demonstrated that having predominantly slow muscle fibres provides a metabolic advantage during slow muscle contractions, but this benefit disappeared at faster contractions.We extended these results to full‐body exercises, where we demonstrated that higher proportions of slow fibres associated with better economy during running but not when walking.These findings provide important insights into the influence of muscle fibre typology on whole‐body metabolic rate and emphasize the importance of considering muscle mechanical demands to understand muscle fibre typology related differences in whole‐body metabolic rate. [ABSTRACT FROM AUTHOR]

The article focuses on research examining if marathon runner Eliud Kipchoge could reduce his time running the Berlin, Germany marathon to under two hours by using cooperative drafting (CD). It states on September 16, 2018 he eclipsed the previous world record for the Berlin marathon by one minute, 18 seconds for a time of 2:01:39. It utilizes mathematical models to examine how CD would benefit running speed and found three Kipchoge-like-runners could together beat the two-hour marathon barrier.

Background: We have shown that a prototype marathon racing shoe reduced the metabolic cost of running for all 18 participants in our sample by an average of 4%, compared to two well-established racing shoes. Gross measures of biomechanics showed minor differences and could not explain the metabolic savings.Objective: To explain the metabolic savings by comparing the mechanics of the shoes, leg, and foot joints during the stance phase of running.Methods: Ten male competitive runners, who habitually rearfoot strike ran three 5-min trials in prototype shoes (NP) and two established marathon shoes, the Nike Zoom Streak 6 (NS) and the adidas adizero Adios BOOST 2 (AB), at 16 km/h. We measured ground reaction forces and 3D kinematics of the lower limbs.Results: Hip and knee joint mechanics were similar between the shoes, but peak ankle extensor moment was smaller in NP versus AB shoes. Negative and positive work rates at the ankle were lower in NP shoes versus the other shoes. Dorsiflexion and negative work at the metatarsophalangeal (MTP) joint were reduced in the NP shoes versus the other shoes. Substantial mechanical energy was stored/returned in compressing the NP midsole foam, but not in bending the carbon-fiber plate.Conclusion: The metabolic savings of the NP shoes appear to be due to: (1) superior energy storage in the midsole foam, (2) the clever lever effects of the carbon-fiber plate on the ankle joint mechanics, and (3) the stiffening effects of the plate on the MTP joint. [ABSTRACT FROM AUTHOR]

Background: During a race, competing cyclists often cooperate by alternating between leading and drafting positions. This approach allows them to maximize velocity by using the energy saved while drafting, a technique to reduce the overall drag by exploiting the leader’s slipstream. We have argued that a similar cooperative drafting approach could benefit elite marathon runners in their quest for the sub-2-hour marathon.Objective: Our aim was to model the effects of various cooperative drafting scenarios on marathon performance by applying the critical velocity concept for intermittent high-intensity running.Methods: We used the physiological characteristics of the world’s most elite long-distance runners and mathematically simulated the depletion and recovery of their distance capacity when running above and below their critical velocity throughout a marathon.Results: Our simulations showed that with four of the most elite runners in the world, a 2:00:48 (h:min:s) marathon is possible, a whopping 2 min faster than the current world record. We also explored the possibility of a sub-2-hour marathon using multiple runners with the physiological characteristics of Eliud Kipchoge, arguably the best marathon runner of our time. We found that a team of eight Kipchoge-like runners could break the sub-2-hour marathon barrier.Conclusion: In the context of cooperative drafting, we show that the best team strategy for improving marathon performance time can be optimized using a mathematical model that is based on the physiological characteristics of each athlete. [ABSTRACT FROM AUTHOR]

Background: Reducing the energetic cost of running seems the most feasible path to a sub-2-hour marathon. Footwear mass, cushioning, and bending stiffness each affect the energetic cost of running. Recently, prototype running shoes were developed that combine a new highly compliant and resilient midsole material with a stiff embedded plate.Objective: The aim of this study was to determine if, and to what extent, these newly developed running shoes reduce the energetic cost of running compared with established marathon racing shoes.Methods: 18 high-caliber athletes ran six 5-min trials (three shoes × two replicates) in prototype shoes (NP), and two established marathon shoes (NS and AB) during three separate sessions: 14, 16, and 18 km/h. We measured submaximal oxygen uptake and carbon dioxide production during minutes 3-5 and averaged energetic cost (W/kg) for the two trials in each shoe model.Results: Compared with the established racing shoes, the new shoes reduced the energetic cost of running in all 18 subjects tested. Averaged across all three velocities, the energetic cost for running in the NP shoes (16.45 ± 0.89 W/kg; mean ± SD) was 4.16 and 4.01% lower than in the NS and AB shoes, when shoe mass was matched (17.16 ± 0.92 and 17.14 ± 0.97 W/kg, respectively, both p < 0.001). The observed percent changes were independent of running velocity (14-18 km/h).Conclusion: The prototype shoes lowered the energetic cost of running by 4% on average. We predict that with these shoes, top athletes could run substantially faster and achieve the first sub-2-hour marathon. [ABSTRACT FROM AUTHOR]

Patients with Parkinson’s disease (PD), and especially those with freezing of gait (FOG), are known to experience impairments in gait rhythmicity, symmetry, and bilateral coordination between both legs. In the current study, we investigated whether deficits in perception of gait speed between limbs were more pronounced in freezers than in non-freezers and could explain some of these gait impairments. We also assessed cognitive ability and proprioception. Twenty-five PD patients (13 freezers, 12 non-freezers) and 12 healthy controls walked on a split-belt treadmill, while the speed of one of the belts was gradually increased. Participants had to indicate the moment at which they perceived belt speeds to be different. The main outcome variables were the number of correct responses (perception accuracy) and the difference in belt speeds at the moment the participants perceived belt speeds to be different (perception threshold). In addition, gait characteristics during both split- and tied-belt walking were determined. Results showed significantly lower perception accuracy in freezers, whereas the perception threshold did not differ between groups. During tied-belt walking, freezers exhibited more asymmetrical step lengths and limb excursions than non-freezers and healthy controls. Greater step length and limb excursions were associated with better perception, whereas more variable gait was associated with more impaired perception. The results confirm the hypothesis that freezers have impaired perception of locomotor asymmetry. While proprioceptive and cognitive ability did not explain these findings, the possible causal link with the occurrence of FOG needs further corroboration. [ABSTRACT FROM AUTHOR]

Online gait corrections are frequently used to restore gait stability and prevent falling. They require shorter response times than voluntary movements which suggests that subcortical pathways contribute to the execution of online gait corrections. To evaluate the potential role of the cerebellum in these pathways we tested the hypotheses that online gait corrections would be less accurate in individuals with focal cerebellar damage than in neurologically intact controls and that this difference would be more pronounced for shorter available response times and for short step gait corrections. We projected virtual stepping stones on an instrumented treadmill while some of the approaching stepping stones were shifted forward or backward, requiring participants to adjust their foot placement. Varying the timing of those shifts allowed us to address the effect of available response time on foot placement error. In agreement with our hypothesis, individuals with focal cerebellar lesions were less accurate in adjusting their foot placement in reaction to suddenly shifted stepping stones than neurologically intact controls. However, the cerebellar lesion group’s foot placement error did not increase more with decreasing available response distance or for short step versus long step adjustments compared to the control group. Furthermore, foot placement error for the non-shifting stepping stones was also larger in the cerebellar lesion group as compared to the control group. Consequently, the reduced ability to accurately adjust foot placement during walking in individuals with focal cerebellar lesions appears to be a general movement control deficit, which could contribute to increased fall risk. [ABSTRACT FROM AUTHOR]

Purpose: Historically, the efficiency of leg cycling has been difficult to change. However, arm cycling research indicates that relative crank angle changes can improve efficiency. Therefore, we investigated if leg cycling with different relative crank angles affects efficiency.Methods: Ten healthy, male, recreational bicycle riders (27.8 ± 8.2 years, mean ± SD, mass 69.8 ± 3.2 kg) pedaled a pan-loaded cycle ergometer at a fixed power output of 150 watts at a cadence of 90 RPM. Each subject completed six, 5-min trials in random order at relative crank angles of 180°, 135°, 90°, 45°, 0°, and 180°. We averaged rates of oxygen uptake ([Formula: see text]) and carbon dioxide production ([Formula: see text]), and respiratory exchange ratio (RER) for the last 2 min of each trial.Results: Crank angles other than 180° required a greater metabolic cost. As relative crank angle decreased from 180°, metabolic power monotonically increased by 1.6% at 135° to 8.2% greater when the relative crank angle was 0° (p < 0.001).Conclusions: We find that, unlike arm cycling, radically changing the relative crank angle on a bicycle from an out-of-phase (180°) to in-phase (0°) position decreases leg cycling efficiency by ~8%. We attribute the increase to changes in cost of breathing, muscle co-activation, trunk stabilization, power fluctuations, and possibly lifting the legs during the upstroke. Our findings may have relevance in the rehabilitation of patients recovering from stroke or spinal cord injury. [ABSTRACT FROM AUTHOR]

A sub-2-hour marathon requires an average velocity (5.86 m/s) that is 2.5% faster than the current world record of 02:02:57 (5.72 m/s) and could be accomplished with a 2.7% reduction in the metabolic cost of running. Although supporting body weight comprises the majority of the metabolic cost of running, targeting the costs of forward propulsion and leg swing are the most promising strategies for reducing the metabolic cost of running and thus improving marathon running performance. Here, we calculate how much time could be saved by taking advantage of unconventional drafting strategies, a consistent tailwind, a downhill course, and specific running shoe design features while staying within the current International Association of Athletic Federations regulations for record purposes. Specifically, running in shoes that are 100 g lighter along with second-half scenarios of four runners alternately leading and drafting, or a tailwind of 6.0 m/s, combined with a 42-m elevation drop could result in a time well below the 2-hour marathon barrier. [ABSTRACT FROM AUTHOR]

Online gait corrections are frequently used to restore gait stability and prevent falling. They require shorter response times than voluntary movements which suggests that subcortical pathways contribute to the execution of online gait corrections. To evaluate the potential role of the cerebellum in these pathways we tested the hypotheses that online gait corrections would be less accurate in individuals with focal cerebellar damage than in neurologically intact controls and that this difference would be more pronounced for shorter available response times and for short step gait corrections. We projected virtual stepping stones on an instrumented treadmill while some of the approaching stepping stones were shifted forward or backward, requiring participants to adjust their foot placement. Varying the timing of those shifts allowed us to address the effect of available response time on foot placement error. In agreement with our hypothesis, individuals with focal cerebellar lesions were less accurate in adjusting their foot placement in reaction to suddenly shifted stepping stones than neurologically intact controls. However, the cerebellar lesion group's foot placement error did not increase more with decreasing available response distance or for short step versus long step adjustments compared to the control group. Furthermore, foot placement error for the non-shifting stepping stones was also larger in the cerebellar lesion group as compared to the control group. Consequently, the reduced ability to accurately adjust foot placement during walking in individuals with focal cerebellar lesions appears to be a general movement control deficit, which could contribute to increased fall risk. [ABSTRACT FROM AUTHOR]

Purpose: Our goal was to quantify if small (1%-3%) changes in running economy quantitatively affect distance-running performance. Based on the linear relationship between metabolic rate and running velocity and on earlier observations that added shoe mass increases metabolic rate by ~1% per 100 g per shoe, we hypothesized that adding 100 and 300 g per shoe would slow 3000-m time-trial performance by 1% and 3%, respectively. Methods: Eighteen male sub-20-min 5-km runners completed treadmill testing, and three 3000-m time trials wearing control shoes and identical shoes with 100 and 300 g of discreetly added mass. We measured rates of oxygen consumption and carbon dioxide production and calculated metabolic rates for the treadmill tests, and we recorded overall running time for the time trials. Results: Adding mass to the shoes significantly increased metabolic rate at 3.5 m⋅s-1 by 1.11% per 100 g per shoe (95% confidence interval = 0.88%-1.35%). While wearing the control shoes, participants ran the 3000-m time trial in 626.1 ± 55.6 s. Times averaged 0.65% ± 1.36% and 2.37% ± 2.09% slower for the +100-g and +300-g shoes, respectively (P < 0.001). On the basis of a linear fit of all the data, 3000-m time increased 0.78% per added 100 g per shoe (95% confidence interval = 0.52%-1.04%). Conclusion: Adding shoe mass predictably degrades running economy and slows 3000-m time-trial performance proportionally. Our data demonstrate that laboratory-based running economy measurements can accurately predict changes in distance-running race performance due to shoe modifications. [ABSTRACT FROM AUTHOR]

Making step adjustments is an essential component of walking. However, the ability to make step adjustments may be compromised when the walker's attentional capacity is limited. This study compared the effects of aging and dual tasking on step adjustments in response to stepping-target perturbations during visually cued treadmill walking. Fifteen older adults (69.4 ± 5.0 years; mean ± SD) and fifteen young adults (25.4 ± 3.0 years) walked at a speed of 3 km/h on a treadmill. Both groups performed visually cued step adjustments in response to unpredictable shifts of projected stepping targets in forward (FW), backward (BW) or sideward (SW) directions, at different levels of task difficulty [which increased as the available response distance (ARD) decreased], and with and without dual tasking (auditory Stroop task). In both groups, step adjustments were smaller than required. For FW and BW shifts, older adults undershot more under dual-task conditions. For these shifts, ARD affected the age groups differentially. For SW shifts, larger errors were found for older adults, dual tasking and the most difficult ARD. Stroop task performance did not differ between groups in all conditions. Older adults have more difficulty than young adults to make corrective step adjustments while walking, especially under dual-tasking conditions. Furthermore, they seemed to prioritize the cognitive task over the step adjustment task, a strategy that may pose aging populations at a greater fall risk. For comparable task difficulty, the older adults performed considerably worse than the young adults, indicating a decreased ability to adjust steps under time pressure. [ABSTRACT FROM AUTHOR]

To prevent falls, adjustment of foot placement is a frequently used strategy to regulate and restore gait stability. While foot trajectory adjustments have been studied during discrete stepping, online corrections during walking are more common in daily life. Here, we studied quick foot placement adjustments during gait, using an instrumented treadmill equipped with a projector, which allowed us to project virtual stepping stones. This allowed us to shift some of the approaching stepping stones in a chosen direction at a given moment, such that participants were forced to adapt their step in that specific direction and had varying time available to do so. Thirteen healthy participants performed six experimental trials all consisting of 580 stepping stones, and 96 of those stones were shifted anterior, posterior or lateral at one out of four distances from the participant. Overall, long-step gait adjustments were performed more successfully than short-step and side-step gait adjustments. We showed that the ability to execute movement adjustments depends on the direction of the trajectory adjustment. Our findings suggest that choosing different leg movement adjustments for obstacle avoidance comes with different risks and that strategy choice does not depend exclusively on environmental constraints. The used obstacle avoidance strategy choice might be a trade-off between the environmental factors (i.e., the cost of a specific adjustment) and individuals' ability to execute a specific adjustment with success (i.e., the associated execution risk). [ABSTRACT FROM AUTHOR]

To walk efficiently and stably on different surfaces under various constrained conditions, humans need to adapt their gait pattern substantially. Although the mechanisms behind locomotor adaptation are still not fully understood, the cerebellum is thought to play an important role. In this study we aimed to address the specific localization of cerebellar involvement in split-belt adaptation by comparing performance in patients with stable focal lesions after cerebellar tumor resection and in healthy controls. We observed that changes in symmetry of those parameters that were most closely related to interlimb coordination (such as step length and relative double stance time) were similar between healthy controls and cerebellar patients during and after split-belt walking. In contrast, relative stance times (proportions of stance in the gait cycle) were more asymmetric for the patient group than for the control group during the early phase of the post-split-belt condition. Patients who walked with more asymmetric relative stance times were more likely to demonstrate lesions in vermal lobules VI and Crus II. These results confirm that deficits in gait adaptation vary with ataxia severity and between patients with different types of cerebellar damage. [ABSTRACT FROM AUTHOR]

Gait adaptation is essential for humans to walk according to the different demands of the environment. Although locomotor adaptation has been studied in different contexts and in various patient populations, the mechanisms behind locomotor adaptation are still not fully understood. The aim of the present study was to test two opposing hypotheses about the control of split-belt walking, one based on avoidance of limping and the other on avoiding limb excursion asymmetry. We assessed how well cerebellar patients with focal lesions and healthy control participants could sense differences between belt speeds during split-belt treadmill walking and correlated this to split-belt adaptation parameters. The ability to perceive differences between belt speeds was similar between the cerebellar patients and the healthy controls. After combining all participants, we observed a significant inverse correlation between stance time symmetry and limb excursion symmetry during the early phase of split-belt walking. Participants who were better able to perceive belt speed differences (e.g., they had a lower threshold and hence were able to detect a smaller speed difference) walked with the smallest asymmetry in stance time and the largest asymmetry in limb excursion. Our data support the hypothesis that humans aim to minimize (temporal) limping rather than (spatial) limb excursion asymmetry when using their perception of belt speed differences in the early phase of adaptation to split-belt walking. [ABSTRACT FROM AUTHOR]

Modulation of cutaneous reflexes is important in the neural control of walking, yet knowledge about underlying neural pathways is still incomplete. Recent studies have suggested that the cerebellum is involved. Here we evaluated the possible roles of the cerebellum in cutaneous reflex modulation and in attenuation of self-induced reflexes. First we checked whether leg muscle activity during walking was similar in patients with focal cerebellar lesions and in healthy control subjects. We then recorded cutaneous reflex activity in leg muscles during walking. Additionally, we compared reflexes after standard (computer triggered) stimuli with reflexes after self-induced stimuli for both groups. Biceps femoris and gastrocnemius medialis muscle activity was increased in the patient group compared with the control subjects, suggesting a coactivation strategy to reduce instability of gait. Cutaneous reflex modulation was similar between healthy control subjects and cerebellar patients, but the latter appeared less able to attenuate reflexes to self-induced stimuli. This suggests that the cerebellum is not primarily involved in cutaneous reflex modulation but that it could act in attenuation of self-induced reflex responses. The latter role in locomotion would be consistent with the common view that the cerebellum predicts sensory consequences of movement. [ABSTRACT FROM AUTHOR]

The evident ataxic characteristics of gait in patients with cerebellar damage suggest that the cerebellum plays an important role in the neural control of gait. Ataxic features, such as increased gait variability and increased step width, are often related to gait stability. However, the link between these measures and gait stability is not straightforward. Therefore, to gain more insights into relations between gait stability, gait variability and gait ataxia, we quantified gait stability using the short-term maximum Lyapunov exponent. This is a more valid measure of gait stability, derived from dynamical systems theory. Eighteen patients with focal cerebellar lesions after tumor resection walked on an instrumented treadmill at 1.0 m/s for 3 min. The patients displayed relatively mild functional deficits (ICARS = 6.9 ± 6.4, range 0–20) and had a lower overground walking speed as compared to healthy controls (1.12 m/s versus 1.31 m/s). During treadmill walking, the short-term maximum Lyapunov exponent was higher in cerebellar patients, indicating reduced gait stability. Furthermore, step width was increased in the patient group while other spatio-temporal gait parameters were similar. Patients with the largest lesions in the vermis displayed the least stable gait pattern. These observations imply that the short-term maximum Lyapunov exponent is a sensitive measure of gait deficits in mildly ataxic cerebellar patients. [ABSTRACT FROM AUTHOR]

In a recent work on locomotor symmetry while walking on a split-belt treadmill, Lauzière and co-workers determined the perception threshold of gait symmetry in a sample of healthy elderly. In addition, they aimed to determine which particular gait parameters affect the symmetry of the perception threshold. Although only temporal and kinetic gait parameters were measured (and no kinematics), it was suggested that stance time symmetry is an important criterion that participants use to identify the threshold. Here it is argued that several other gait parameters could qualify equally well as main criteria used to identify the threshold and that these parameters should be taken into account in future studies. [ABSTRACT FROM AUTHOR]

Motor adaptations not only recalibrate movement execution but also can lead to altered movement perception in multiple sensory domains. Vazquez, Statton, Busgang, and Bastian (J Neurophysiol 114: 3255-3267, 2015) recently showed that splitbelt walking affects perception of leg speed during walking, but not perceptions of leg position during standing and walking or perception of contact force during stepping. Considering their findings within the broader scope of sensorimotor recalibration in other tasks, we suggest that sensorimotor recalibrations are task specific and can be multisensory. [ABSTRACT FROM AUTHOR]

Motor adaptations not only recalibrate movement execution but also can lead to altered movement perception in multiple sensory domains. Vazquez, Statton, Busgang, and Bastian (J Neurophysiol 114: 3255-3267, 2015) recently showed that splitbelt walking affects perception of leg speed during walking, but not perceptions of leg position during standing and walking or perception of contact force during stepping. Considering their findings within the broader scope of sensorimotor recalibration in other tasks, we suggest that sensorimotor recalibrations are task specific and can be multisensory. [ABSTRACT FROM AUTHOR]

Highlights: [•] We developed a test to assess response inhibition ability during gait adjustments. [•] Performance of healthy young adults was tested. [•] Inhibition ability decreases with increasing complexity of the task. [ABSTRACT FROM AUTHOR]

During human locomotion, cutaneous reflexes have been suggested to function to preserve balance. Specifically, cutaneous reflexes in the contralateral leg's muscles (with respect to the stimulus) were suggested to play an important role in maintaining stability during locomotor tasks where stability is threatened. We used backward walking (BW) as a paradigm to induce unstable gait and analyzed the cutaneous reflex activity in both ipsilateral and contralateral lower limb muscles after stimulation of the sural nerve at different phases of the gait cycle. In BW, the tibialis anterior (TA) reflex activity in the contralateral leg was markedly higher than TA background EMG activity during its stance phase. In addition, in BW a substantial reflex suppression was observed in the ipsilateral biceps femoris during the stance-swing transition in some participants, while for medial gastrocnemius the reflex activity was equal to background activity in both legs. To test whether the pronounced crossed responses in TA could be related to instability, the responses were correlated with measures of stability (short-term maximum Lyapunov exponents and step width). These measures were higher for BW compared with forward walking, indicating that BW is less stable. However, there was no significant correlation between these measures and the amplitude of the crossed TA responses in BW. It is therefore proposed that these crossed responses are related to an attempt to briefly slow down (TA decelerates the center of mass in the single-stance period) in the light of unexpected perturbations, such as provided by the sural nerve stimulation. [ABSTRACT FROM AUTHOR]

Purpose: With few cycling races on the calendar in 2020 due to COVID-19, Everesting became a popular challenge: you select one hill and cycle up and down it until you reach the accumulated elevation of Mt. Everest (8,848 m or 29,029ft). With an almost infinite number of different hills across the world, the question arises what the optimal hill for Everesting would be. Here, we address the biomechanics and energetics of up- and downhill cycling to determine the characteristics of this optimal hill. Methods: During uphill cycling, the mechanical power output equals the power necessary to overcome air resistance, rolling resistance, and work against gravity, and for a fast Everesting time, one should maximize this latter term. To determine the optimal section length (i.e., number of repetitions), we applied the critical power concept and assumed that the U-turn associated with an additional repetition comes with a 6 s time penalty. Results: To use most mechanical power to overcoming gravity, slopes of at least 12% are most suitable, especially since gross efficiency seems only minimally diminished on steeper slopes. Next, we found 24 repetitions to be optimal, yet this number slightly depends on the assumptions made. Finally, we discuss other factors (fueling, altitude, fatigue) not incorporated in the model but also affecting Everesting performances. Conclusion: For a fast Everesting time, our model suggests to select a hill climb which preferably starts at (or close to) sea level, with a slope of 12–20% and length of 2–3 km. [ABSTRACT FROM AUTHOR]

While it is well recognized that the preferred stride frequency (PSF) in running closely corresponds to the metabolically optimal frequency, the underlying mechanisms are still unclear. Changes in joint kinematics when altering stride frequency will affect the muscle‐tendon unit lengths and potentially the efficiency of muscles crossing these joints. Here, we investigated how fascicle kinematics and forces of the triceps surae muscle, a highly energy consuming muscle, are affected when running at different stride frequencies. Twelve runners ran on a force measuring treadmill, adopting five different frequencies (PSF; PSF ± 8%; PSF ± 15%), while we measured joint kinematics, whole‐body energy expenditure, triceps surae muscle activity, and soleus (SOL; N = 10) and gastrocnemius medialis (GM; N = 12) fascicle kinematics. In addition, we used dynamic optimization to estimate SOL and GM muscle forces. We found that SOL and GM mean muscle fascicle length during stance followed an inverted U‐relationship with the longest fascicle lengths occurring at PSF. Fascicle lengths were shortest at frequencies lower than PSF. In addition, average SOL force was greater at PSF−15% compared with PSF. Overall, our results suggest that reduced SOL and GM muscle fascicle lengths, associated with reduced muscle force potential, together with greater SOL force demand, contribute to the increased whole‐body energy expenditure when running at lower than PSF. At higher stride frequencies, triceps surae muscle kinematics and force production were less affected suggesting that increased energy expenditure is rather related to higher cost of leg swing and greater cost of force production. [ABSTRACT FROM AUTHOR]

Highlights: [•] We explain the calculation of spatial gait parameters for split-belt gait. [•] The definition of stride length in split-belt gait is problematic. [•] We argue that this measure should be referred to as ‘limb excursion’. [•] Using standard definitions, stride time can never be asymmetric when not turning. [•] Similarly, stride length can never be asymmetric when not turning. [ABSTRACT FROM AUTHOR]

An Online First version of this article was made available online at https://link.springer.com/article/10.1007/s40279-017-0811-2 on 16 November 2017. An error was subsequently identified in the article, and the following correction should be noted: [ABSTRACT FROM AUTHOR]

The zero-velocity update (ZUPT) method has become a popular approach to estimate foot kinematics from foot worn inertial measurement units (IMUs) during walking and running. However, the accuracy of the ZUPT method for stride parameters at sprinting speeds remains unknown, specifically when using sensors with characteristics well suited for sprinting (i.e., high accelerometer and gyroscope ranges and sampling rates). Seventeen participants performed 80-meter track sprints while wearing a Blue Trident IMeasureU IMU. Two cameras, at 20 and 70 meters from the start, were used to validate the ZUPT method on a stride-by-stride and on a cumulative distance basis. In particular, the validity of the ZUPT method was assessed for: (1) estimating a single stride length attained near the end of an 80m sprint (i.e., stride at 70m); (2) estimating cumulative distance from ∼20 to ∼70 m; and (3) estimating total distance traveled for an 80-meter track sprint. Individual stride length errors at the 70-meter mark were within -6% to 3%, with a bias of -0.27%. Cumulative distance errors were within -4 to 2%, with biases ranging from -0.85 to -1.22%. The results of this study demonstrate the ZUPT method provides accurate estimates of stride length and cumulative distance traveled for sprinting speeds. [ABSTRACT FROM AUTHOR]

Purpose: Runners naturally adopt a stride frequency closely corresponding with the stride frequency that minimizes energy consumption. Although the concept of self-optimization is well recognized, we lack mechanistic insight into the association between stride frequency and energy consumption. Altering stride frequency affects lower extremity joint power; however, these alterations are different between joints, possibly with counteracting effects on the energy consumption during ground contact and swing. Here, we investigated the effects of changing stride frequency from a joint-level perspective. Methods: Seventeen experienced runners performed six running trials at five different stride frequencies (preferred stride frequency (PSF) twice, PSF ± 8%, PSF ± 15%) at 12 km⋅h-1. During each trial, we measured metabolic energy consumption and muscle activation, and collected kinematic and kinetic data, which allowed us to calculate average positive joint power using inverse dynamics. Results: With decreasing stride frequency, average positive ankle and knee power during ground contact increased (P < 0.01), whereas average positive hip power during leg swing decreased (P <0.01). Average soleus muscle activation during ground contact also decreased with increasing stride frequency (P < 0.01). In addition, the relative contribution of positive ankle power to the total positive joint power during ground contact decreased (P = 0.01) with decreasing stride frequency, whereas the relative contribution of the hip during the full stride increased (P < 0.01) with increasing stride frequency. Conclusions: Our results provide evidence for the hypothesis that the optimal stride frequency represents a trade-off between minimizing the energy consumption during ground contact, associated with higher stride frequencies, without excessively increasing the cost of leg swing or reducing the time available to produce the necessary forces. [ABSTRACT FROM AUTHOR]

The article presents the study regarding the role of the cerebellum in action?perception coupling by the scientist A. Christensen, and colleagues published in the periodical "Journal of Neuroscience". It presents that Christensen studied patients with focal cerebellar lesions in a paradigm that measures motor execution effect on visual action perception. It mentions the experiments performed by Christensen where factors, such as oculomotor deficits in the patient, were taken into account.

Footwear interventions are a potential avenue to correct walking asymmetry in neurologic populations, such as stroke. However, the motor learning mechanisms that underlie the changes in walking imposed by asymmetric footwear are unclear. The objectives of this study were to examine symmetry changes during and after an asymmetric shoe height intervention in (1) vertical impulse and (2) spatiotemporal gait parameters and (3) joint kinematics, in healthy young adults Eleven healthy young adults (3 males, 8 females; 21.2 ± 3.1 years old) participated in this study. Participants walked on an instrumented treadmill at 1.3 m/s for four conditions: (1) a 5-minute familiarization with equal shoe height, (2) a 5-minute baseline with equal shoe height, (3) a 10-minute intervention, where participants walked with asymmetric shoe height with a 10 mm shoe insert in one shoe, and (4) a 10-minute post-intervention, where participants walked with equal shoe height. Asymmetry in kinetics and kinematics were used to identify changes during intervention and aftereffects, a hallmark of feedforward adaptation Participants did not alter vertical impulse asymmetry (p = 0.667) nor stance time asymmetry (p = 0.228). During the intervention, step time asymmetry (p = 0.003) and double support asymmetry (p < 0.001) were greater compared to baseline. Leg joint asymmetry during stance (Ankle plantarflexion: p < 0.001; Knee flexion: p < 0.001; Hip extension: p = 0.011) was greater during the intervention compared to baseline. However, changes in spatiotemporal gait variables and joint mechanics did not demonstrate aftereffects. Our results show that healthy human adults change gait kinematics, but not weight-bearing symmetry with asymmetrical footwear. This suggests that healthy humans prioritize maintaining vertical impulse by changing their kinematics. Further, the changes in gait kinematics are short-lived, suggesting feedback-based control, and a lack of feedforward motor adaptations • Kinetic asymmetry is not adapted with asymmetrical shoe height. • Gait kinematic asymmetry are altered with asymmetrical shoe height. • Gait kinematic asymmetry changes may be due to reactive learning mechanisms. [ABSTRACT FROM AUTHOR]

Humans can navigate through challenging environments (e.g., cluttered or uneven terrains) by modifying their preferred gait pattern (e.g., step length, step width, or speed). Growing behavioral and neuroimaging evidence suggests that the ability to modify preferred step patterns requires the recruitment of cognitive resources. In children, it is argued that prolonged development of complex gait is related to the ongoing development of involved brain regions, but this has not been directly investigated yet. Here, we aimed to elucidate the relationship between structural brain properties and complex gait in youth aged 9-18 years. We used volumetric analyses of cortical grey matter (GM) and whole-brain voxelwise statistical analyses of white matter (WM), and utilized a treadmill-based precision stepping task to investigate complex gait. Moreover, precision stepping was performed on step targets which were either unperturbed or perturbed (i.e., unexpectedly shifting to a new location). Our main findings revealed that larger unperturbed precision step error was associated with decreased WM microstructural organization of tracts that are particularly associated with attentional and visual processing functions. These results strengthen the hypothesis that precision stepping on unperturbed step targets is driven by cortical processes. In contrast, no significant correlations were found between perturbed precision stepping and cortical structures, indicating that other (neural) mechanisms may be more important for this type of stepping. [ABSTRACT FROM AUTHOR]

Necessary for effective ambulation, head stability affords optimal conditions for the perception of visual information during dynamic tasks. This maintenance of head-in-space equilibrium is achieved, in part, by the attenuation of the high frequency impact shock resulting from ground contact. While a great deal of experimentation has been done on the matter during steady state locomotion, little is known about how locomotor asymmetry might affect head stability or dynamic visual acuity. In this study, fifteen participants walked on a split-belt treadmill while verbally reporting the orientation of a randomized Landolt-C optotype that was projected at heel strike. Participants were exposed to baseline, adaptation, and washout conditions, as characterized by belt speed ratios of 1:1, 1:3, and 1:1, respectively. Step length asymmetry, shock attenuation, high and low frequency head signal power, and dynamic visual acuity were averaged across the first and last fifty strides of each condition. Across the first fifty strides, step length asymmetry was significantly greater during adaptation than during baseline (p < 0.001; d = 2.442), and shock attenuation was significantly lower during adaptation than during baseline (p = 0.041; d = -0.679). High frequency head signal power was significantly greater during adaptation than during baseline (p < 0.001; d = -1.227), indicating a reduction in head stability. While dynamic visual acuity was not significantly lower during adaptation than during baseline (p = 0.052), a moderate effect size suggests a decrease in the measure between the two conditions (d = 0.653). Across the last fifty strides, many of the decrements observed between the baseline and adaptation conditions were greatly reduced. The results of this study indicate that the locomotor asymmetry imposed by the split-belt treadmill during early adaptation might lead to moderate decrements in shock attenuation, head stability, and dynamic visual acuity. Moreover, the relative reduction in magnitude of these decrements across the last fifty strides underscores the adaptive nature of the locomotor and visuomotor systems. [ABSTRACT FROM AUTHOR]

The recent and rapid developments in track spike innovation have been followed by a wave of record-breaking times and top performances. This has led many to question what role "super spikes" play in improving running performance. To date, the specific contributions of new innovations in footwear, including lightweight, resilient, and compliant midsole foam, altered geometry, and increased longitudinal bending stiffness, to track running performance are unknown. Based on current literature, we speculate about what advantages these features provide. Importantly, the effects of super spikes will vary based on several factors including the event (e.g., 100 m vs. 10,000 m) and the characteristics of the athlete wearing them. Further confounding our understanding of super spikes is the difficulty of testing them. Unlike marathon shoes, testing track spikes comes with a unique challenge of quantifying the metabolic energy demands of middle-distance running events, which are partly anaerobic. Quantifying the exact benefits from super spikes is difficult and we may need to rely on comparison of track performances pre- and post- the introduction of super spikes. [ABSTRACT FROM AUTHOR]

Purpose: The most commonly used propulsion method for handcycling is moving the arms symmetrically. Previous studies indicated that during outdoor handcycling symmetrical arm movements are more efficient. During locomotor movements, however, arm movements are performed asymmetrically in combination with leg movements. We questioned which combination of arm and leg movements is more efficient during combined arm and leg cycling for stationary use. Methods: Twenty-five able-bodied adults performed eight submaximal tests of 6 min on a hybrid handcycle at three incremental gears during four different conditions ('arms only' and 'arms & legs' with arms symmetrical and asymmetrical). Oxygen uptake (VO), heart rate (HR) and Borg score (Borg) were assessed. Results: Increasing workload resulted in significant increases in VO (16 W: 13.0 ± 2.4 ml kg min, 31 W: 14.5 ± 2.9, 49 W: 15.5 ± 2.8; p < 0.001) and Borg (16 W: 7.7 ± 1.7 points, 31 W: 8.6 ± 1.9, 49 W: 9.5 ± 1.9; p < 0.001). During 'arms only', no differences were found in exercise intensity between symmetrical and asymmetrical movements. Contrarily, during 'arms & legs', both VO ( p < 0.001) and Borg ( p = 0.001) were significantly lower for the asymmetrical (VO: 13.8 ± 2.6 ml kg min, Borg: 8.1 ± 1.6 points) compared to the symmetrical condition (VO: 14.9 ± 2.8, Borg: 9.1 ± 2.0). Conclusions: Results indicated that asymmetrical arm movements, especially in combination with leg movements, represented the most efficient condition on a stationary hybrid handcycle. The current results suggest that neural energy costs are lower when moving in the preferred (asymmetrical) coordination when no steering is required. These findings may have implications for stationary arm & leg cycling rehabilitation and tricycle adaptations in patients with spinal cord injury. [ABSTRACT FROM AUTHOR]

In the quest to uncover the underlying mechanisms responsible for the performance-enhancing benefits imparted by advanced footwear technology (AFT), footwear researchers are employing an individual-level approach. In doing so, they hope to unveil individual-specific responses to AFT otherwise masked by a group-level approach. Classifying an individual’s response on the basis of running economy (RE) is a logical strategy given that the intended purpose of AFT is to enhance performance; however, caution should be taken when doing so. Metabolic measurement devices are far from perfect, and given the known errors associated with metabolic measurements we would like to reiterate a suggestion first made 40 years ago: when seeking to quantify the interindividual variability of improvement in RE associated with running in AFT, the best practice is to rely on a minimum of two same-day measurements of RE. [ABSTRACT FROM AUTHOR]