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Player load is a variable derived from GPS technology that quantifies external load demands. Sprints and change-of-direction movements are high-intensity activities that place stress on the body. Research is needed to determine which sprint metrics may relate to and predict player load during practice sessions in collegiate women’s soccer players, as coaches could manipulate the most impactful variables. This study analyzed which sprint metrics related to GPS player load in women’s soccer players from one Division I team. Data from 19 practice sessions for 18 field players were analyzed. Players wore GPS sensors during all training sessions, and the variables assessed were player load, sprint count, sprint volume, sprint distance, average top speed, maximum top speed, and the number of accelerations and decelerations in different speed zones (±1, ±2, ±3, ±4, ±5 m/s2). Pearson’s correlations (p < 0.05) analyzed relationships between the sprint variables and player load. Stepwise regression analyses (p < 0.05) determined if any metrics predicted player load. The results indicated significant relationships between player load and sprint count, maximum top speed, sprint distance, sprint volume, number of decelerations at –1, –2, and –3 m/s2, and accelerations at 1, 2, and 5 m/s2(r = 0.512–0.861, p ≤ 0.025). Sprint distance and decelerations at 1 m/s2predicted player load (p = 0.001, r2= 0.867). Maximal sprinting and decelerations and accelerations at different speeds were significant contributors to player load in collegiate women’s soccer players. Sprint distance, decelerations, and accelerations could be targeted in training drills via dimension and movement manipulation to adjust training intensity for collegiate women’s soccer players.

It is unclear if the Functional Movement Screen (FMS) scoring criteria identify kinematics that have been associated with lower extremity injury risk. The purpose was to compare lower extremity kinematics of the overhead deep squat (OHDS) during the FMS between individuals who were grouped on FMS scoring. Forty-five adults who were free of injury and without knowledge of the FMS or its scoring criteria (males = 19, females = 26; height = 1.68 0.08 m; mass = 70.7 7 13.0 kg). Three-dimensional lower extremity kinematics during an OHDS were measured using a motion capture system. One-way MANOVA was used to compare kinematic outcomes (peak hip flexion angle, hip adduction angle, knee flexion angle, knee abduction angle, knee internal rotation angle, and ankle dorsiflexion angle) between FMS groups. Those who scored a 3 had greater peak hip flexion angle (F2,42 = 8.75; p = 0.001), knee flexion angle (F2,42 = 13.53; p = 0.001), knee internal rotation angle (F2,42 = 12.91; p = 0.001), and dorsiflexion angle (F2,42 = 9.00; p = 0.001) compared to those who scored a 2 or a 1. However, no differences were found in any outcome between those who scored a 2 and those who scored a 1, or in frontal plane hip or knee kinematics. FMS scoring for the OHDS identified differences in squat depth, which was characterized by larger peak hip, knee, and dorsi- flexion angles in those who scored a 3 compared with those who scored 2 or 1. However, no differences were found between those who scored a 2 or 1, and caution is recommended when interpreting these scores. Despite a different FMS score, few differences were observed in frontal or transverse plane hip and knee kinematics, and other tasks may be needed to assess frontal plane kinematics.

The foot progression angle (FPA) influences knee loading during gait, but its determinants are unclear. The purpose of this study was to compare FPA between males and females and also examine the association between lower extremity kinematics during gait, hip strength, and the FPA. 25 males and 25 females completed 5 gait trials while FPA and frontal and transverse plane hip and knee angles were calculated from the dominant limb during the foot flat portion of stance. Hip extensor/flexor, abductor/adductor, and internal/external rotator strength were evaluated using maximum voluntary isometric contractions. One-way MANOVAs compared gait and strength outcomes. Stepwise regression assessed the association between FPA, and MVIC and kinematics after accounting for speed in males and females. There was no difference in FPA between sexes (p 0.05), but females had greater frontal and transverse plane hip angles compared with males (all p 0.05). Greater hip abduction (p = 0.02) strength was associated with greater FPA, but only in males. In males, greater hip abductor strength may contribute to a more neutral position of the foot during gait, which could help maintain an equal knee loading distribution. Our results suggest that there are sex specific control strategies to achieve a similar FPA during gait.

The Athos ® wearable system integrates surface electromyography (sEMG ) electrodes into the construction of compression athletic apparel. The Athos system reduces the complexity and increases the portability of collecting EMG data and provides processed data to the end user. The objective of the study was to determine the reliability and validity of Athos as compared with a research grade sEMG system. Twelve healthy subjects performed 7 trials on separate days (1 baseline trial and 6 repeated trials). In each trial subjects wore the wearable sEMG system and had a research grade sEMG system’s electrodes placed just distal on the same muscle, as close as possible to the wearable system’s electrodes. The muscles tested were the vastus lateralis (VL), vastus medialis (VM), and biceps femoris (BF). All testing was done on an isokinetic dynamometer. Baseline testing involved performing isometric 1 repetition maximum tests for the knee extensors and flexors and three repetitions of concentric-concentric knee flexion and extension at MVC for each testing speed: 60, 180, and 300 deg/sec. Repeated trials 2-7 each comprised 9 sets where each set included three repetitions of concentric-concentric knee flexion-extension. Each repeated trial (2-7) comprised one set at each speed and percent MVC (50%, 75%, 100%) combination. The wearable system and research grade sEMG data were processed using the same methods and aligned in time. The amplitude metrics calculated from the sEMG for each repetition were the peak amplitude, sum of the linear envelope, and 95th percentile. Validity results comprise two main findings. First, there is not a significant effect of system (Athos or research grade system) on the repetition amplitude metrics (95%, peak, or sum). Second, the relationship between torque and sEMG is not significantly different between Athos and the research grade system. For reliability testing, the variation across trials and averaged across speeds was 0.8%, 7.3%, and 0.2% higher for Athos from BF, VL and VM, respectively. Also, using the standard deviation of the MVC normalized repetition amplitude, the research grade system showed 10.7% variability while Athos showed 12%. The wearable technology (Athos) provides sEMG measures that are consistent with controlled, research grade technologies and data collection procedures.

Collegiate cross country runners are at risk for running related injuries (RRI) due to high training volume and the potential for aberrant lower extremity biomechanics. However, there is a need for prospective research to determine biomechanical risk factors for RRI. The purpose of this study was to prospectively compare ankle, knee, and hip kinematics and kinetics and ground reaction force characteristics between injured and non-injured cross country runners over a 14-week season. Biomechanical running analyses were conducted on 31 collegiate-cross country runners using a 3-dimensional motion capture system and force plate prior to the start of the season. Twelve runners were injured and 19 remained healthy during the course of the season. Peak external knee adduction moment (KAM), a surrogate for frontal plane knee loading, and peak ankle eversion velocity were greater in runners who sustained an injury compared to those who did not, and no differences were noted in ground reaction force characteristics, or hip kinematics and kinetics. Reducing the KAM and ankle eversion velocity may be an important aspect of preventing RRI.

WITH THE GROWTH IN POPULARITY OF CORE TRAINING, IT IS IMPORTANT THAT THERE IS A CLEAR UNDERSTANDING OF HOW TO BEST TAILOR THESE EXERCISES TO SAFELY MEET THE NEEDS OF DIFFERENT INDIVIDUALS. EXTENSIVE RESEARCH HAS SHOWN THAT TRAINING THE CORE MUSCLES ISOMETRICALLY, THAT IS WITHOUT BENDING THE

As runners age, the likelihood of developing osteoarthritis (OA) significantly increases as 10% of people 55+ have symptomatic knee OA while 70% of people 65+ have radiographic signs of knee OA. The lateral-medial shear force (LMF) and knee adduction moment (KAM) during gait have been associated with cartilage loading which can lead to OA. Foot rotation during gait has been shown to alter the LMF and KAM, however it has not been investigated in running. The purpose of this study was to investigate changes in the KAM and LMF with foot rotation during running. Twenty participants volunteered and performed five running trials in three randomized conditions (normal foot position [NORM], external rotation [EXT], and internal rotation [INT]) at a running speed of 3.35m·s-1 on a 20 meter runway. Kinematic and kinetic data were gathered using a 9-camera motion capture system and a force plate, respectively. Repeated measures ANOVAs determined differences between conditions. The KAM and LMF were lower in both EXT and INT conditions compared to the NORM, but there were no differences between EXT and INT conditions. The decreases in KAM and LMF in the EXT condition were expected and concur with past research in other activities. The reductions in the INT condition were unexpected and contradict the literature. This may indicate that participants are making mechanical compensations at other joints to reduce the KAM and LMF in this abnormal internal foot rotation condition.

The bench press is one of the most commonly used upper-body exercises in training and is performed with many different variations, including unstable loads (ULs). Although there is much research on use of an unstable surface, there is little to none on the use of an UL. The purpose of this study was to investigate muscle activation during the bench press while using a stable load (SL) vs. UL. Twenty resistance-trained men (age = 24.1 ± 2 years; ht = 177.5 ± 5.8 cm; mass = 88.7 ± 13.7 kg) completed 2 experimental conditions (SL and UL) at 2 different intensities (60 and 80% one repetition maximum). Unstable load was achieved by hanging 16 kg kettlebells by elastic bands from the end of the bar. All trial lifts were set to a 2-second cadence with a slight pause at the bottom. Subjects had electrodes attached to 5 muscles (pectoralis major, anterior deltoid, medial deltoid, triceps brachii, and latissimus dorsi) and performed 3 isometric bench press trials to normalize electromyographic data. All 5 muscles demonstrated significantly greater activation at 80% compared with 60% load and during concentric compared with eccentric actions. These results suggest that upper body muscle activation is not different in the bench press between UL and SL. Therefore, coaches should use their preference when designing training programs.

Large imbalances between limbs are common and potentially dangerous, yet few studies have simultaneously examined performance and physiological asymmetries. The current study examined the associations between lower-limb dominance, drop-jumping kinematics, maximal strength, and myosin heavy-chain (MHC) fiber type in the vastus lateralis.Thirteen resistance-trained men (age, 24.3 ± 2.7 yr; height, 181.4 ± 6.6 cm; mass, 87.7 ± 11.3 kg) identified their dominant (DOM) and nondominant (ND) limb, performed drop jumps (30 cm) and maximal knee extensions (1-repetition maximum, or 1RM), and provided biopsies from both vastus lateralis muscles for single-fiber (109 ± 36 per limb per person) MHC fiber-type identification (FT%).All participants selected "right" as the "preferred kicking limb" (DOM). DOM displayed a trend for a greater eccentric knee angular velocity (EKV; P = 0.083) and a significantly greater concentric knee angular velocity (CKVl P = 0.002) during drop jump. DOM also tended to be stronger than ND (64.3 ± 11.3 vs 61.0 ± 8.8 kg, P = 0.063). Slow-twitch (MHC I) fibers were more prevalent in DOM (P0.025), whereas ND contained more fast-twitch (MHC IIa; P0.025). No correlations existed between categories (jumping, 1RM, and FT%). Asymmetries of5% were present in 6 of 12 participants for EKV, 2 of 12 for CKV, 6 of 13 for 1RM, 12 of 13 for MHC I, and 11 of 13 for MHC IIa. However, only a single participant expressed asymmetries of5% in all dependent variables (EKV, CKV, 1RM, MHC I, and MHC IIa).Several statistically and clinically relevant asymmetries were identified. The FT% differences between lower limbs were large and common. The findings also seem to conclude that DOM was stronger, moved faster, and contained more MHC I. However, only 23% of participants actually displayed that result. This highlights the need to analyze and report both group and individual data, particularly when interpreting findings across multiple related, but not necessarily causal, measurements.

The Athos ® wearable system integrates surface electromyography (sEMG ) electrodes into the construction of compression athletic apparel. The Athos system reduces the complexity and increases the portability of collecting EMG data and provides processed data to the end user. The objective of the study was to determine the reliability and validity of Athos as compared with a research grade sEMG system. Twelve healthy subjects performed 7 trials on separate days (1 baseline trial and 6 repeated trials). In each trial subjects wore the wearable sEMG system and had a research grade sEMG system’s electrodes placed just distal on the same muscle, as close as possible to the wearable system’s electrodes. The muscles tested were the vastus lateralis (VL), vastus medialis (VM), and biceps femoris (BF). All testing was done on an isokinetic dynamometer. Baseline testing involved performing isometric 1 repetition maximum tests for the knee extensors and flexors and three repetitions of concentric-concentric knee flexion and extension at MVC for each testing speed: 60, 180, and 300 deg/sec. Repeated trials 2-7 each comprised 9 sets where each set included three repetitions of concentric-concentric knee flexion-extension. Each repeated trial (2-7) comprised one set at each speed and percent MVC (50%, 75%, 100%) combination. The wearable system and research grade sEMG data were processed using the same methods and aligned in time. The amplitude metrics calculated from the sEMG for each repetition were the peak amplitude, sum of the linear envelope, and 95th percentile. Validity results comprise two main findings. First, there is not a significant effect of system (Athos or research grade system) on the repetition amplitude metrics (95%, peak, or sum). Second, the relationship between torque and sEMG is not significantly different between Athos and the research grade system. For reliability testing, the variation across trials and averaged across speeds was 0.8%, 7.3%, and 0.2% higher for Athos from BF, VL and VM, respectively. Also, using the standard deviation of the MVC normalized repetition amplitude, the research grade system showed 10.7% variability while Athos showed 12%. The wearable technology (Athos) provides sEMG measures that are consistent with controlled, research grade technologies and data collection procedures.

Punching is integral to success in combat sports, making it a frequent activity during practice/training. Improving safety of this activity benefits both the athlete and training partners. This study was designed to 1) test the precision and reliability of a commercially available striking device and 2) assess the influence of a novel padded hand wrap on punching force in elite and untrained punchers. Fourteen male professional boxers and mixed martial artists (PRO; age=29.2±5.6y; height=180.3±9.0cm; mass=87.1±17.9kg, winning %=73.8±13.8%, number of victories via knockout/technical knockout=35.6± 21.9%) and 24 untrained male punchers (UNT; 27.6±6.9y, 177.6±18.3cm, 84.3±16.9kg) wore a standardized boxing glove and performed 20 maximal punches (4 sets of 5) into a device designed to measure punching force. All participants performed, in a counterbalanced order, 2 sets of 5 with a standardized hand wrap and 2 sets of 5 with the same wrap plus an additional 1.2cm thick cylinder 4g foam-like pad (WRAP) placed over the knuckles. PRO produced significantly more punching force than UNT, regardless of condition. Punching force was lower by 12.6% (p

subjects were identified through slow motion video playback (n = 21, age = 22.8±2.2 years, mass = 73.1±14.5 kg, height 1.75 ± 0.10 m). On day two, subjects performed five overground run trials in both their natural and unnatural strike patterns while motion and force data were collected. Data were collected over two days so that foot strike videos could be analyzed for group placement purposes. Several 2 (Foot Strike Pattern –forefoot strike [FFS], rearfoot strike [RFS]) x 2 (Group – PFFG, PRFG) mixed model ANOVAs (p < 0.05) were run on speed, active peak vertical ground reaction force (VGRF), peak early stance and mid stance sagittal ankle moments, sagittal plane hip and knee moments, ankle dorsiflexion ROM, and sagittal plane hip and knee ROM. There were no significant interactions or between group differences for any of the measured variables. Within subject effects demonstrated that the RFS condition had significantly lower (VGRF) (RFS = 2.58 ± .21 BW, FFS = 2.71 ± 0.23 BW), dorsiflexion moment (RFS = -2.6 1± 0.61 Nm·kg-1, FFS = -3.09 ± 0.32 Nm·kg-1), and dorsiflexion range of motion (RFS = 17.63 ± 3.76°, FFS = 22.10 ± 5.08°). There was also a significantly higher peak plantarflexion moment (RFS = 0.23 ± 0.11 Nm·kg-1, FFS = 0.01 ± 0.01 Nm·kg-1), peak knee moment (RFS = 2.61 ± 0.54 Nm·kg-1, FFS = 2.39 ± 0.61 Nm·kg-1), knee ROM (RFS = 31.72 ± 2.79°, FFS = 29.58 ± 2.97°), and hip ROM (RFS = 42.72 ± 4.03°, FFS = 41.38 ± 3.32°) as compared with the FFS condition. This research suggests that acute changes in foot strike patterns during shod running can create alterations in certain lower limb kinematic and kinetic measures that are not dependent on the preferred foot strike pattern of the individual. This research also challenges the contention that the impact transient spike in the vertical ground reaction force curve is only present during a rear foot strike type of running gait.

It is known that proper proximal to distal sequencing of body rotations is important in the production of high club head velocities in the golf swing. Since these rotations originate at the pelvis, it is not clear how differences in pelvic kinematics are related to essential determinants of ball flight. One essential ball flight measure that has not been previously investigated is the ratio of club velocity before impact to ball velocity after impact, or smash factor. Therefore, this study investigated the differences in pelvic kinematics and ball flight determinants between golfers of different skill levels. It also determined the correlations between pelvic kinematic measures and these determinants of ball flight. Skilled golfers were found to have greater pelvic accelerations and a larger time between peak pelvic velocity and ball contact (peak to impact time). It was also discovered that pelvic acceleration correlated with the shot distance and with the smash factor. There was also a correlation betwe...

SUMMARY SUCCESS IN MANY ATHLETIC AND SPORTING ACTIVITIES MAY BE ENHANCED BY THE ABILITY TO OPTIMIZE MUSCULAR POWER OUTPUT. THIS ARTICLE WILL PRESENT THE BIOMECHANICAL DEFINITIONS, CHARACTERISTICS, AND APPLICATIONS OF POWER IN SPORT.

The purpose of this study was to determine the effects of deadlift chain variable resistance on surface electromyography (EMG) of the gluteus maximus, erector spinae, and vastus lateralis muscles, ground reaction forces (GRFs), and rate of force development (RFD). Thirteen resistance-trained men (24.0 ± 2.1 years, 179.3 ± 4.8 cm, 87.0 ± 10.6 kg) volunteered for the study. On day 1, subjects performed 1 repetition maximum (1RM) testing of the deadlift exercise. On day 2, subjects performed one set of 3 repetitions with a load of 85% 1RM with chains (CH) and without chains (NC). The order of the CH and NC conditions was randomly determined for each subject. For the CH condition, the chains accounted for approximately 20% (19.9 ± 0.6%) of the 85% 1RM load, matched at the top of the lift. Surface EMG was recorded to differentiate muscle activity between conditions (CH, NC), range of motion (ROM; bottom, top), and phase (concentric, eccentric). Peak GRFs and RFD were measured using a force plate. Electromyography results revealed that for the gluteus maximus there was significantly greater EMG activity during the NC condition vs. the CH condition. For the erector spinae, EMG activity was greater at the bottom than the top ROM (p ≤ 0.05). Force plate results revealed that deadlifting at 85% 1RM with an accommodating chain resistance of approximately 20% results in a reduction in GRFs (p ≤ 0.05) and no change in RFD (p > 0.05). Collectively, these results suggest that the use of chain resistance during deadlifting can alter muscle activation and force characteristics of the lift.

Participation in the sport of golf involves regular walking activity that promotes physical fitness for all ages, including the rapidly growing population of retired men and women in the baby boomer generation. Golf professionals and health experts can therefore benefit from having a working knowledge about the aging process and how this will affect the older golfer’s performance and participation level. This information also needs to include the potential for injury such as musculoskeletal problems arising from overly vigorous swings, faulty body mechanics or improper equipment. Literature is reviewed that is pertinent to the key performance and health issues that need to be considered when describing and promoting golf participation for the older population. Further research is still required on how best to disseminate such information widely to the large population of older people who could enjoy this activity as part of their lifelong strategy for successful aging.

Traditionally, golf research and instruction have focused on the kinematics of the golf swing; while relatively little attention has been paid to the three-dimensional (3D) golf ground reaction forces (GRF). These GRF profiles are waveforms representing the change in these forces throughout the golf swing. If they are just represented by a few discreet variables, much of the variability is lost. Therefore, this study used Principal Components Analysis (PCA) to determine 3D GRF differences between the golf swing of 23 beginners and 18 NCAA collegiate golfers. Six GRF waveforms were analyzed (3D GRFs for the lead/trail legs) and each waveform required 5 principal component (PC) scores to represent at least 90% of variability in the curves. Of the 30 PC scores analyzed, 6 of them were found to be significantly different between the Collegiate and Beginner golfer. The differences which represented the most variability occurred in the vertical forces, but there were also key differences in the shearing forces....

Vertical jumping ability is a critical skill for success in many sports. Previous studies have reported conflicting results on the effects of heavy-load, light-load, contrast, or plyometric training to improve vertical jump height. A novel jump training method, using assistance via elastic cords or an absolute weight, has received little attention. These studies, using an overspeed paradigm, support assistance as an effective training method compared with free or overload jump training. However, there is a lack of investigation and standardization related to the critical assisted jump training variables of frequency, intensity (assistance level), volume, and rest. Therefore, the purpose of this review was to provide an overview of assisted jump training, associated variables, and potential benefits to enhance vertical jump height.

Tran, TT, Brown, LE, Coburn, JW, Lynn, SK, Dabbs, NC, Schick, MK, Schick, EE, Khamoui, AV, Uribe, BP, and Noffal, GJ. Effects of different elastic cord assistance levels on vertical jump. J Strength Cond Res 25(12): 3472-3478, 2011-Currently, little research has been conducted using body weight reduction (BWR) as a means to enhance vertical jump. The purpose of this study was to determine the effects of different elastic cord assistance levels on vertical jump height (JH), takeoff velocity (TOV), relative ground reaction force (rGRF), relative impact force (RIF), and descent velocity (DV). Thirty recreationally trained college men and women (M = 15, W = 15) completed 3 testing sessions consisting of 5 conditions: 0, 10, 20, 30, and 40% BWR. In all BWR conditions, the subjects wore a full body harness while being attached to 2 elastic cords suspended from the ceiling and a linear velocity transducer. They then performed 3 maximal countermovement jumps with arm swing on a force plate. The results indicated no interaction of condition by sex for any variable; however, there was a significant (p0.05) main effect for condition for each variable. The JH significantly increased across all conditions (0%: 43.73 ± 1.62 cm, 40%: 64.77 ± 2.36 cm). The TOV at 30% (2.73 ± 0.34 m·s) was significantly greater than that at 0% (2.59 ± 0.39 m·s) and 10% (2.63 ± 0.34 m·s), whereas that at 40% (2.79 ± 0.43 m·s) was significantly greater than that at0, 10, and 20%. The rGRF at 30% (18.62 ± 4.35 N·kg) was significantly greater than that at0, 10, and 20%, whereas that at 40% (21.38 ± 5.21 N·kg) was significantly greater than in all conditions. The RIF at 20, 30, and 40% (40%: 61.60 ± 18.53 N·kg) was significantly greater than that at 0% (44.46 ± 9.12 N·kg). The DV at 20% (2.61 ± 0.31 m·s) was significantly greater than at 10%, whereas those at 30 and 40% (2.8 ± 0.41 m·s) were significantly greater than at 0, 10, and 20%. These results demonstrate that using different elastic cord levels to reduce body weight appears effective for increasing ascent and descent force and velocity variables. Future research should investigate greater BWR% and chronic training.

Whole-body vibration (WBV) may enhance human performance via augmented muscular strength and motor function if used before performance. Because warm-up is a crucial aspect of preparation for performance, it remains unknown if WBV may enhance bat speed. The purpose of this study was to investigate the effect of WBV warm-up on bat speed. Eleven National Collegiate Athletic Association division I and 11 recreationally trained female softball players volunteered to participate. Subjects randomly performed 3 different warm-up conditions consisting of WBV alone, dry swings alone (DS), and WBV with dry swings (WBVDS). Whole-body vibration was performed on a pivotal vibration platform at a frequency of 25 Hz and an amplitude of 13 mm for one 30-second bout. Thirty seconds after each warm-up condition, 5 maximal bat swings were recorded. There was no significant (p0.05) difference between groups by training status, and there was no significant (p0.05) difference between WBV (42.39 +/- 9.83 mph), DS (40.45 +/- 11.00 mph), or WBVDS (37.98 +/- 12.40 mph) conditions. These results indicate that WBV warm-up may be used in place of DS to achieve similar bat speeds. Future research should investigate different combinations of WBV warm-up using various frequencies, durations, amplitudes, and rest times.

Golf has the potential to keep people active well into their later years. Injuries to the target side knee have been reported in golfers, yet no mechanisms for these injuries have been proposed. The loads on the knee during the golf swing may be insufficient to cause acute injury, yet they may be a factor in the progression of overuse/degenerative conditions; therefore, research developing swing modifications that may alter loading of the knee is warranted. It has been suggested that the proper golf set-up position has the target-side foot externally rotated but no reasoning for this modification has been provided. Frontal plane knee moments have been implicated in many knee pathologies. Therefore, this study used a 3-dimensional link segment model to quantify the frontal plane knee moments during the golf swing in a straight (STR) and externally rotated (EXT) target-side foot position. Subjects were 7 collegiate golfers and knee moments were compared between conditions using repeated measures T-tests. The golf swing knee moment magnitudes were also descriptively compared to those reported for two athletic maneuvers (drop jump landing, side-step cutting) and activities of daily living (gait, stair ascent). The EXT condition decreased the peak knee adduction moment as compared to the STR condition; however, foot position had no effect on the peak knee abduction moment. Also, the magnitude of the knee adduction moments during the two activities of daily living were 9-33% smaller than those experienced during the two different golfing conditions. The drop jump landing and golf swing knee moments were of similar magnitude (STR= - 5%, EXT= + 8%); however, the moments associated with side- step cutting were 50-71% larger than those on the target side knee during the golf swing. The loading of the target side knee during the golf swing may be a factor in the development and progression of knee pathologies and further research should examine ways of attenuating these loads through exercise and swing modifications

This paper investigated whether the ratio of medial-lateral hamstring muscular activation could be altered with changes in foot rotation position (both internal and external rotation) during three standard lower limb exercises. It has been suggested that those with medial compartment knee OA activate the lateral hamstrings more than the medial to help unload the diseased compartment; therefore, preferential activation of this muscle during lower limb exercise may help to further decrease the stresses on the articular cartilage and be an effective intervention for knee OA and lateral hamstring injury. Thirteen healthy young adult subjects were tested and average medial and lateral hamstring EMG data during the full exercise, as well as the concentric and eccentric phases, were used to calculate the medial-lateral (M-L) hamstring activation ratio for each exercise and foot position. Results suggest that internal foot rotation increases the M-L hamstring activation ratio while external foot rotation decreases this ratio. Therefore, altering the position of the foot during standard lower limb exercise can help selectively activate the medial or lateral hamstring muscle groups. This selective activation may have implication in treating symptoms of knee osteoarthritis and hamstring injury; but, longitudinal intervention studies would be needed to determine clinical utility.

Current demographic trends in countries where golf is popular indicate that the number of senior golfers will increase significantly in the coming decades. Thus golf coaches and teaching professionals benefit from having a working knowledge about the aging process and how this will affect the older golfer's performance and participation level. Playing golf can promote health benefits such as from the walking exercise, but it can also lead to injury concerns; e.g., musculoskeletal problems from repetitive strain of excessive practice. Therefore, the purpose of this article is to review literature pertinent to the key performance and health issues that should be considered when dealing with the older golfer. Some strategies for targeted management of the senior golfer's typical health concerns such as osteoarthritis are provided, along with a call for further research on how best to disseminate such information widely to the large and growing population of seniors who enjoy this activity

Background To determine the effects of changing the natural foot progression angle during gait (internal and external foot rotation) on the knee’s adduction moment, lateral–medial shear force, and the ratio of medial–lateral hamstring muscle activation in those with signs of knee osteoarthritis and a matched healthy control group. Methods Twelve subjects with signs of knee osteoarthritis and 12 matched healthy control subjects were evaluated. A 3D gait analysis system calculated forces and moments at the knee while the subjects walked in three conditions: (1) normal foot position, (2) external foot rotation, (3) internal foot rotation. Medial and lateral hamstring EMG data was also collected simultaneously and used to calculate the medial–lateral hamstring activation ratio during the stance phase of the gait cycle. Repeated measures ANOVAs were used to compare foot rotation conditions within each group; while between group comparisons were performed in the normal rotation condition only using t -tests. Findings Those with knee osteoarthritis (OA) had an increased late stance knee adduction moment and a decreased medial–lateral hamstring activation ratio as compared to the healthy control group. Also, external foot rotation decreased the late stance knee adduction moment, lateral–medial shear force, and hamstring activation ratio. However, internal foot rotation did not increase these measures. Interpretation Changes in foot position during gait have the ability to alter both the external loading of the knee joint and hamstring muscle activation patterns during gait. This may have implication in helping to unload the knee’s articular cartilage.

Purpose: This study compared the kinematics and kinetics of the knee joint during traditional step-over-step (SOS) and compensatory step-by-step lead-leg (SBSL) and trail-leg (SBST) stair ambulation patterns. Methods: Seventeen (M:9) healthy adults completed five trials of ascent and descent using three different stepping patterns: 1) SBSL, 2) SBST, and 3) SOS. Kinematics and kinetics were collected with an optoelectronic motion-tracking system and a force plate embedded into a four-step staircase. An inverse-dynamics link-segment model (QGAIT system) was used to calculate the net joint kinetics. Results: During stair ascent, different peak anteroposterior (AP) forces were observed across all three stepping patterns (SOS > SBSL > SBST, P < 0.05). During ascent, the flexion moments of SOS (0.96 N[middle dot]m[middle dot]kg-1) and SBSL (0.97 N[middle dot]m[middle dot]kg-1) patterns were similar and much larger than the SBST moments (0.14 N[middle dot]m[middle dot]kg-1). In the descent conditions, the initial AP peak force for SOS was larger than that of SBSL and SBST. However, the second peak force for SOS (4.92 N[middle dot]kg-1) and SBST (4.68 N[middle dot]kg-1) were larger than SBSL (1.57 N[middle dot]kg-1). During descent, the initial peak flexion moment for the SOS pattern was larger than SBSL and SBST, whereas during the second peak, SOS (1.05 N[middle dot]m[middle dot]kg-1) and SBST (1.11 N[middle dot]m[middle dot]kg-1) were no different and larger than SBSL (0.18 N[middle dot]m[middle dot]kg-1). Conclusion: Overall, SBSL during ascent and SBST during descent had the highest loads. These results increase our understanding of alternative stepping patterns and have important clinical (reduction of loading on injured/diseased leg) and rehabilitation implications.

There is evidence that joint load is a factor in the development of osteoarthritis (OA) and, while altered gait profiles have been linked with OA, it is unknown if abnormal gait is a cause or effect of the disease. While the knee's adduction moment has been implicated in the development and progression of knee OA, it is also known that shearing forces are detrimental to the health of cartilage. The purpose of this pilot study was to examine the adduction moment and gait shear forces to determine if they may lead to signs of knee OA in older adults as they age. Knee gait kinetics, standardized radiographs and a questionnaire were collected on 28 older adults (M:13) during an initial visit, and 5 to 11 years later. Radiographic score increased (knees became more osteoarthritic in 15 of 28 subjects) over time. However, gait time–distance measures remained constant in disease free participants. Two returning participants developed symptoms and radiographic evidence of knee OA. The subject with the largest adduction moment developed signs of medial OA while the subject with the smallest adduction moment developed signs of lateral OA. In addition, there was a strong correlation between the magnitudes of the adduction moment and lateral–medial shear force that needs to be investigated further. Results suggest that gait can remain stable over time in older adults. Also, the medial and lateral OA case study findings suggest that the extreme gait profiles seen in these two participants may be important in explaining cartilage breakdown and the development of OA. This longitudinal study would suggest that perhaps it is the abnormal gait pattern that leads to the development of OA, although a much larger study would be needed to confirm this finding.

Fibromyalgia is a chronic pain condition, which involves reduced range of motion. This leads to gait changes and high incidence of falls. The understanding of the gait patterns in subjects with fibromyalgia and their relationship with falls may be useful when designing intervention programs. The purpose of this study was to evaluate the range of motion of the hip and ankle joints during gait in women with and without fibromyalgia. Further, we determined the relationship between joint range of motion and falls in this population.Middle-aged women (16 with fibromyalgia and 16 as control group) were recruited. Pain intensity, physical activity level, and fall prevalence were assessed. Three dimensional gait analysis provided temporal and joint kinematic variables.In general, hip and ankle range of motion were similar between groups, except that fibromyalgia group showed higher plantar flexion during toe-off (P0.05) and reduced dorsiflexion during stance phase (P0.05). Additionally, in the fibromyalgia group the higher number of falls was correlated to reduced dorsiflexion during stance phase. This limitation in dorsiflexion was related to longer length of time with fibromyalgia symptoms.Women with fibromyalgia showed a higher number of falls, reduced dorsiflexion during stance phase, and increased plantar flexion during toe-off. Also, the higher number of falls reported in the fibromyalgia group was related to reduced dorsiflexion during stance phase, which was correlated to a longer length of time living with fibromyalgia symptoms. These data suggest that improving ankle kinematics in patients with fibromyalgia may help prevent falls and improve mobility.

The purpose of this study was to determine the effect of foot strike patterns and converted foot strike patterns on lower limb kinematics and kinetics at the hip, knee, and ankle during a shod condition. Subjects were videotaped with a high speed camera while running a 5km at self-selected pace on a treadmill to determine natural foot strike pattern on day one. Preferred forefoot group (PFFG, n = 10) and preferred rear foot group (PRFG, n = 11) subjects were identified through slow motion video playback (n = 21, age = 22.8±2.2 years, mass = 73.1±14.5 kg, height 1.75 ± 0.10 m). On day two, subjects performed five overground run trials in both their natural and unnatural strike patterns while motion and force data were collected. Data were collected over two days so that foot strike videos could be analyzed for group placement purposes. Several 2 (Foot Strike Pattern -forefoot strike [FFS], rearfoot strike [RFS]) x 2 (Group - PFFG, PRFG) mixed model ANOVAs (p0.05) were run on speed, active peak vertical ground reaction force (VGRF), peak early stance and mid stance sagittal ankle moments, sagittal plane hip and knee moments, ankle dorsiflexion ROM, and sagittal plane hip and knee ROM. There were no significant interactions or between group differences for any of the measured variables. Within subject effects demonstrated that the RFS condition had significantly lower (VGRF) (RFS = 2.58 ± .21 BW, FFS = 2.71 ± 0.23 BW), dorsiflexion moment (RFS = -2.6 1± 0.61 Nm·kg(-1), FFS = -3.09 ± 0.32 Nm·kg(-1)), and dorsiflexion range of motion (RFS = 17.63 ± 3.76°, FFS = 22.10 ± 5.08°). There was also a significantly higher peak plantarflexion moment (RFS = 0.23 ± 0.11 Nm·kg(-1), FFS = 0.01 ± 0.01 Nm·kg(-1)), peak knee moment (RFS = 2.61 ± 0.54 Nm·kg(-1), FFS = 2.39 ± 0.61 Nm·kg(-1)), knee ROM (RFS = 31.72 ± 2.79°, FFS = 29.58 ± 2.97°), and hip ROM (RFS = 42.72 ± 4.03°, FFS = 41.38 ± 3.32°) as compared with the FFS condition. This research suggests that acute changes in foot strike patterns during shod running can create alterations in certain lower limb kinematic and kinetic measures that are not dependent on the preferred foot strike pattern of the individual. This research also challenges the contention that the impact transient spike in the vertical ground reaction force curve is only present during a rear foot strike type of running gait. Key pointsFootstrike pattern changes should be individually considered and implemented based on individual histories/abilitiesForefoot strike patterns increase external dorsiflexion momentsRearfoot strike patterns increase external knee flexion momentsRecreational shod runners are able to mimic habitual mechanics of different foot strike patterns.

Context:Proper functioning of the intrinsic foot musculature (IFM) is essential in maintaining the integrity of the medial longitudinal arch (MLA). Improper functioning of the IFM leads to excessive pronation of the foot, which has been linked to various pathologies. Therefore, training the IFM to avoid excessive pronation may help prevent some of these pathologies; however, it is not clear how to train these muscles optimally.Objective:To investigate the effects of 2 different types of IFM training on the height of the MLA and static- and dynamic-balance task performance.Design:Randomized controlled trial, repeated-measures mixed-model design.Setting:University biomechanics laboratory for testing and a home-based training program.Participants:24 healthy, university-age volunteers (3 groups of 8) with no history of major lower limb pathology or balance impairment.Interventions:One experimental group performed 4 wk of the short-foot exercise (SFE) and the other performed 4 wk of the towel-curl exercise (TCE). Participants were asked to perform 100 repetitions of their exercise per day.Main Outcome Measures:Navicular height during weight bearing, the total range of movement of the center of pressure (COP) in the mediolateral (ML) direction for a static-balance test and a dynamic-balance test.Results:There were no differences in the navicular height or static-balance tests. For the dynamic-balance test, all groups decreased the ML COP movement on the dominant limb by a small amount (~5 mm); however, the SFE group was able to decrease COP movement much more than the TCE group in the nondominant limb.Conclusions:The SFE appeared to train the IFM more effectively than the TCE; however, there were differing results between the dominant and nondominant legs. These imbalances need to be taken into consideration by clinicians.