Could knee joint mechanics during the golf swing be contributing to chronic knee injuries in professional golfers?

Full three-dimensional movements and external moments in golfers' knees and the possible involvement in injuries have not been evaluated using motion capture at high sample frequencies. This study measured joint angles and external moments around the three anatomical axes in both knees of 10 professional golfers performing golf drives whilst standing on two force plates in a motion capture laboratory. Significant differences were found in the knee joint moments between the lead and trail limbs for the peak values and throughout all stages during the swing phase. A significantly higher net abduction moment impulse was seen in the trail limb compared with the lead limb (-0.518 vs. -0.135 Nms.kg-1), indicating greater loading over the whole swing, which could contribute to knee lateral compartment or anterior cruciate ligament injuries. A significant correlation (r = -0.85) between clubhead speed at ball contact and maximum joint moment was found, with the largest correlations being found for joint moments at the top of the backswing event and at the end of the follow-through. Therefore, although knee moments can contribute to high clubhead speeds, the large moments and impulses suggest that they may also contribute to chronic knee injuries or exacerbate existing conditions.

Which Phases of the Stroke Cycle Are Propulsive in Front Crawl Swimming?

Purpose: The aim of this study was fourfold: (1) to quantify acceleration, velocity, and phase overlap for each phase of the stroke cycle (SC) during 200 m front crawl; (2) for each variable, to identify any differences between the four SC phases; (3) to investigate changes in variables during the 200 m; (4) to explore any association between performance and each variable. Methods: Ten swimmers performed a 200 m maximum swim. Four SCs were analyzed, one for each 50 m, using three-dimensional methods. Each SC was split into four phases: entry, pull, push, and recovery. Center of mass (CM) acceleration; maximum, minimum, and average CM velocity; phase duration, and, overlap of a phase of one arm with each phase of the opposite arm were calculated. Results and Conclusion: Phase velocities were positively correlated with performance and decreased during the 200 m. The acceleration data showed high within and between-swimmer variability. When the entry of one arm overlapped with the pull, and sometimes push, phase of the opposite arm, it was propulsive for the whole body. The pull was the slowest phase and overlapped predominantly with the opposite arm's recovery. The push phase was often propulsive for the whole body, regardless of the overlaps with the other arm, and together with the entry were the fastest phases. The recovery of each arm was mostly resistive for the whole body, except the short period of overlap with the opposite arm's push phase.

Peak power, force, and velocity during jump squats in professional rugby players.

Training at the optimal load for peak power output (PPO) has been proposed as a method for enhancing power output, although others argue that the force, velocity, and PPO are of interest across the full range of loads. The aim of this study was to examine the influence of load on PPO, peak barbell velocity (BV), and peak vertical ground reaction force (VGRF) during the jump squat (JS) in a group of professional rugby players. Eleven male professional rugby players (age, 26 ± 3 years; height, 1.83 ± 6.12 m; mass, 97.3 ± 11.6 kg) performed loaded JS at loads of 20-100% of 1 repetition maximum (1RM) JS. A force plate and linear position transducer, with a mechanical braking unit, were used to measure PPO, VGRF, and BV. Load had very large significant effects on PPO (p < 0.001, partial η² = 0.915); peak VGRF (p < 0.001, partial η² = 0.854); and peak BV (p < 0.001, partial η² = 0.973). The PPO and peak BV were the highest at 20% 1RM, though PPO was not significantly greater than that at 30% 1RM. The peak VGRF was significantly greater at 1RM than all other loads, with no significant difference between 20 and 60% 1RM. In resistance trained professional rugby players, the optimal load for eliciting PPO during the loaded JS in the range measured occurs at 20% 1RM JS, with decreases in PPO and BV, and increases in VGRF, as the load is increased, although greater PPO likely occurs without any additional load.

The WATER study: Which AquaTic ExeRcises increase muscle activity and limit pain for people with low back pain?

OBJECTIVE: Aquatic exercise therapy is used for the treatment and management of chronic low back pain (CLBP). However, to the authors' knowledge, no studies to date have compared muscle activity between different aquatic exercises performed by people with CLBP. As such, this study assessed and compared muscle activity, pain, perceived exertion and exercise intensity between different rehabilitative aquatic exercises. DESIGN: Cross-sectional. SETTING: A 25-m indoor swimming pool within a university building. PARTICIPANTS: Twenty participants with non-specific CLBP. ASSESSMENT: Twenty-six aquatic exercises in shallow water (1.25-m depth). Muscle activity was quantified bilaterally for the erector spinae, multifidus, gluteus maximus and medius, rectus abdominis, and external and internal obliques. MAIN OUTCOMES: Mean and peak muscle activity, pain (visual analogue scale), perceived exertion (Borg scale) and exercise intensity (heart rate). RESULTS: Hip abduction/adduction and extension/flexion exercises produced higher activity for gluteal muscles. Variations of squat exercises increased the activity of back extensors. Higher abdominal muscle activity was produced with exercises that made use of buoyancy equipment and included leg and trunk movements while floating on the back, and with some proprioceptive and dynamic lower limb exercises. Pain occurrence and intensity were very low, with 17 exercises being pain free. CONCLUSIONS: This study provides evidence on trunk and gluteal muscle activity, pain, intensity and perceived exertion for people with CLBP performing aquatic exercises. The findings may be useful when prescribing exercises for rehabilitation, as physiotherapists seek to implement progression in effort and muscle activity, variation in exercise type, and may wish to target or avoid particular muscles. CONTRIBUTION OF THE PAPER.

Muscle Activity During Aquatic and Land Exercises in People With and Without Low Back Pain.

BACKGROUND: Chronic low back pain (CLBP) is the most prevalent musculoskeletal disorder. Aquatic exercises are commonly used by physical therapists for CLBP treatment and management; however, there are no data on trunk muscle activation during aquatic exercises in people with CLBP. OBJECTIVE: We quantified activation of trunk and gluteal muscles, exercise intensity, pain, and perceived exertion in people with and without CLBP when performing water and land exercises. DESIGN: The study used a cross-sectional design. METHODS: Twenty participants with nonspecific CLBP and 20 healthy participants performed 15 aquatic exercises and 15 similar land exercises. Mean and peak muscle activation were measured bilaterally from erector spinae, multifidus, gluteus maximus, gluteus medius, rectus abdominis, external oblique, and internal oblique using waterproof and wireless surface electromyography. Exercise intensity (heart rate), perceived exertion (Borg scale), and, for the CLBP group, pain (visual analog scale) were recorded. RESULTS: There were no significant between-group differences. Significant between-environment differences were found in heart rate (always higher on land), exertion (higher in the water for 3 exercises and on land for 6 exercises), and muscle activation (higher on land in 29% and in the water in 5% of comparisons). Pain levels were low, but pain was reported more than twice as frequently on land than in water (7.7% vs 3.7%, respectively). LIMITATIONS: People with high levels of disability and CLBP classification were not included. CONCLUSIONS: People with mild-to-moderate CLBP had similar exercise responses to healthy controls. Aquatic exercise produced sufficient muscle activation, intensity, and exertion, and should not be assumed to be less strenuous or less effective in activating trunk and pelvic muscles than exercise on land. These data can be used to inform design and prescription of rehabilitation programs and interventions.

Re-examining the effects of verbal instructional type on early stage motor learning.

The present study investigated the differential effects of analogy and explicit instructions on early stage motor learning and movement in a modified high jump task. Participants were randomly assigned to one of three experimental conditions: analogy, explicit light (reduced informational load), or traditional explicit (large informational load). During the two-day learning phase, participants learned a novel high jump technique based on the 'scissors' style using the instructions for their respective conditions. For the single-day testing phase, participants completed both a retention test and task-relevant pressure test, the latter of which featured a rising high-jump-bar pressure manipulation. Although analogy learners demonstrated slightly more efficient technique and reported fewer technical rules on average, the differences between the conditions were not statistically significant. There were, however, significant differences in joint variability with respect to instructional type, as variability was lowest for the analogy condition during both the learning and testing phases, and as a function of block, as joint variability decreased for all conditions during the learning phase. Findings suggest that reducing the informational volume of explicit instructions may mitigate the deleterious effects on performance previously associated with explicit learning in the literature.

Use of an audio-paced incremental swimming test in young national-level swimmers.

PURPOSE: To evaluate the reliability and sensitivity to training of an audio-paced incremental swimming test. METHODS: Eight young national-level male swimmers (age 15 +/- 1 year) performed a 7 x 200-m incremental swimming test (velocities 1.19, 1.24, 1.28, 1.33, 1.39, and 1.45 m/s and maximal sprint pace) using an audio-pacing device. The same test was performed 4 times by each participant, 1 wk apart to assess reliability (WK1, WK2) and after 9 and 20 wk of training (WK9, WK20). Blood lactate concentration ([La-]) and heart rate (HR) were recorded after each stage. Outcome measures were the velocity (v) and HR at lactate markers of 2 mM, 4 mM, and 1 mM. RESULTS: Velocities at the lactate markers proved to be more reliable than HR, with typical errors ranging from 0.66% to 2.30% and 1.28% to 4.50%, respectively (shifts in mean ranged -0.91% to 0.73% and -0.84% to 1.79%, respectively). Across WK1, WK9, and WK20 there were significant improvements in peak velocity (P < .001) and each of the velocities associated with the lactate markers (P < .05), whereas only HR at 1mM improved (P < .05). CONCLUSIONS: This article demonstrates that an audiopaced incremental swimming test is reliable for use with junior swimmers and is sensitive to changes observed after training. The postswimming measurement of HR in the pool was comparatively less reliable.

A three-dimensional examination of the planar nature of the golf swing.

Previous planar models of the downswing in golf have suggested that upper limb segments (left shoulder girdle and left arm) move in a consistent fixed plane and that the clubhead also moves only in this plane. This study sought to examine these assumptions. Three-dimensional kinematic analysis of seven right-handed golfers of various abilities (handicap 0- 15) was used to define a plane (named the left-arm plane) containing the 7th cervical vertebra, left shoulder and left wrist. We found that the angles of this plane to the reference horizontal z axis and target line axis (parallel to the reference x axis) were not consistent. The angle to the horizontal z axis varied from a mean of 133 degrees (s = 1 degrees) at the start of the downswing to 102 degrees (s = 4 degrees) at impact, suggesting a "steepening" of the left-arm plane. The angle of the plane to the target line changed from - 9 degrees (s = 16 degrees) to 5 degrees (s = 15 degrees) during the same period, showing anticlockwise (from above) rotation, although there was large inter-individual variation. The distance of the clubhead from the left-arm plane was 0.019 m (s = 0.280 m) at the start at the downswing and 0.291 m (s = 0.077 m) at impact, showing that the clubhead did not lie in the same plane as the body segments. We conclude that the left arm and shoulder girdle do not move in a consistent plane throughout the downswing, and that the clubhead does not move in this plane. Previous models of the downswing in golf may therefore be incorrect, and more complex (but realistic) simulations should be performed.