Using Inertial Measurement Units to Examine Selected Joint Kinematics in a Road Cycling Sprint: A Series of Single Cases.

Sprinting plays a significant role in determining the results of road cycling races worldwide. However, currently, there is a lack of systematic research into the kinematics of sprint cycling, especially in an outdoor, environmentally valid setting. This study aimed to describe selected joint kinematics during a cycling sprint outdoors. Three participants were recorded sprinting over 60 meters in both standing and seated sprinting positions on an outdoor course with a baseline condition of seated cycling at 20 km/h. The participants were recorded using array-based inertial measurement units to collect joint excursions of the upper and lower limbs including the trunk. A high-rate GPS unit was used to record velocity during each recorded condition. Kinematic data were analyzed in a similar fashion to running gait, where multiple pedal strokes were identified, delineated, and averaged to form a representative (average ± SD) waveform. Participants maintained stable kinematics in most joints studied during the baseline condition, but variations in ranges of movement were recorded during seated and standing sprinting. Discernable patterns started to emerge for several kinematic profiles during standing sprinting. Alternate sprinting strategies emerged between participants and bilateral asymmetries were also recorded in the individuals tested. This approach to studying road cycling holds substantial potential for researchers wishing to explore this sport.

Relationship Between Mechanical Effectiveness in Sprint Running and Force-Velocity Characteristics of a Countermovement Jump in Australian Rules Football Athletes.

ABSTRACT: Morris, CG, Weber, JA, and Netto, KJ. Relationship between mechanical effectiveness in sprint running and force-velocity characteristics of a countermovement jump in Australian rules football athletes. J Strength Cond Res 36(3): e59-e65, 2022-This study evaluated the mechanical determinants of 40-m sprint performance in elite Australian Rules Football (ARF) athletes and identified variables of countermovement jumps (CMJs) that related to the sprint. Fourteen elite male ARF athletes (age = 22.7 ± 3.6 years; height = 1.88 ± 0.08 m; mass = 88.2 ± 9.38 kg) completed two 40-m sprints and 3 CMJs. Sprint mechanics were calculated using inverse dynamic methods from sprint times, anthropometric and spatiotemporal data, whereas CMJ variables were obtained from in-ground force plates. Associations between sprint mechanics, sprint performance, and CMJ variables were identified using Pearson's correlation coefficient. A p-value of <0.036 was considered statistically significant for all analyses after performing Bonferroni correction adjustment. Relative peak running power was significantly correlated (p < 0.036, r = -0.781 to -0.983) with sprint split times across all distances (5-40 m). Relative maximum horizontal force significantly correlated with acceleration performance (0-20 m, p < 0.036, r = -0.887 to -0.989). Maximum running velocity was significantly correlated (p < 0.036, r = -0.714 to -0.970) with sprint times across 20-40 m. Relative peak force in the CMJ was significantly associated (p < 0.036, r = -0.589 to -0.630) with sprint kinetics (power and horizontal force) and 5-20-m sprint times. Jump height and concentric time in the CMJ were significantly (p < 0.036) correlated with sprint time at 20 m (r = -0.550 and r = 0.546), respectively. These results indicate emphasis should be placed on training protocols that improve relative peak power, particularly in time-constrained environments such as team sports, focusing on maximal force production or maximal running velocity ability. Furthermore, associations between CMJ variables and sprint performance provide practitioners with an approach to assess sprint performance in-season, monitor training adaptations and further individualize training interventions, without requiring maximal sprint testing.

Hip Taping Positively Alters Running Kinematics in Asymptomatic Females.

Greater functional knee valgus (FKV) is thought to contribute to a greater risk of sustaining overuse running injuries. The hip is commonly implicated in greater functional knee valgus, but no studies have investigated the effects of hip taping on running kinematics. The present study investigated whether or not hip taping altered hip and knee kinematics compared to sham and no taping in female runners demonstrating excessive functional knee valgus. Lower limb stance-phase kinematics were collected from 23 female runners using three-dimensional motion capture. Participants performed over ground running at 3.5 m/s and 5.0 m/s. Three taping conditions (no tape; sham tape; hip tape) were tested. Statistical inference was performed using Statistical Parametric Mapping Hotelling's paired t-tests, with post-hoc paired t-tests. Hip taping significantly decreased hip adduction and internal rotation angles throughout stance phase by up to 7°, compared to sham and no taping. Hip taping significantly increased knee adduction, internal rotation, flexion, and reduced peak knee flexion angles, compared to no tape. Hip taping reduced excessive hip motion by clinically meaningful magnitudes, and also benefited knee frontal and transverse plane kinematics at the slower running speed. Hip taping may provide an immediate solution in correcting FKV in running.

Occupational exposures to agricultural dust by Western Australian wheat-belt farmers during seeding operations.

Agricultural operations routinely expose farm workers to high levels of soil dust and other airborne particulate matter that have been linked to adverse health outcomes. The main objective of this study was to investigate exposure to agricultural dust during seeding operations of Western Australian farm workers. Twenty-one wheat-belt farms were recruited to participate in the study. Data were collected over the 6-week seeding period of April-June 2014. Each farm was visited once, and workers were asked to complete a workplace survey that asked questions related to minimizing exposure to agricultural dusts and occupational health and safety issues on their farm. Farmers were also asked to simultaneously participate in monitoring of personal exposure to inhalable or respirable dust along with real-time monitoring for particulate air pollution in their tractor cabin. Sampling was undertaken for 4 hr. The results showed that, on average, Western Australian farmers were exposed to personal respirable dust concentrations above the Australian Institute of Occupational Hygienists recommended guideline values, with some farmers being exposed to concentrations up to seven times higher than the value for respirable dusts. In comparison, in-cabin dust concentrations were lower, although some individual tractors recorded intermittently higher levels, which might be attributed to the type of work activity or process being undertaken. Remaining in tractor cabins with closed doors and windows with properly maintained seals might minimize the infiltration of hazardous dusts and may provide some protection from dust exposures. Future research should focus on educating and providing farm owners and workers with more information on adopting work processes and procedures related to minimizing harmful exposures to agricultural dusts.

Increase in Leg Stiffness Reduces Joint Work During Backpack Carriage Running at Slow Velocities.

Optimal tuning of leg stiffness has been associated with better running economy. Running with a load is energetically expensive, which could have a significant impact on athletic performance where backpack carriage is involved. The purpose of this study was to investigate the impact of load magnitude and velocity on leg stiffness. We also explored the relationship between leg stiffness and running joint work. Thirty-one healthy participants ran overground at 3 velocities (3.0, 4.0, 5.0 m·s-1), whilst carrying 3 load magnitudes (0%, 10%, 20% weight). Leg stiffness was derived using the direct kinetic-kinematic method. Joint work data was previously reported in a separate study. Linear models were used to establish relationships between leg stiffness and load magnitude, velocity, and joint work. Our results found that leg stiffness did not increase with load magnitude. Increased leg stiffness was associated with reduced total joint work at 3.0 m·s-1, but not at faster velocities. The association between leg stiffness and joint work at slower velocities could be due to an optimal covariation between skeletal and muscular components of leg stiffness, and limb attack angle. When running at a relatively comfortable velocity, greater leg stiffness may reflect a more energy efficient running pattern.

Whole-body vibration and occupational physical performance: a review.

INTRODUCTION: In the occupational environment, there are a considerable number of stressors that can affect physical performance in job tasks. Whole-body vibration (WBV), which arises from vehicle transit, is one such stressor that has been demonstrated to alter human function in several ways. This study identifies the known physical changes to human function which result from WBV, to comment on changes which may translate to performance in physically demanding occupational tasks. METHODS: A systematic review is performed on the literature relating to changes in the neuromuscular, physiological and biomechanical properties of the human body, when exposed to WBV. Selection criteria are constructed to synthesise articles which strictly relate to in-vehicle WBV and physical responses. RESULTS: In total, 29 articles were identified which satisfied the criteria for inclusion. A range of physical responses produced from WBV are presented; however, little consistency exists in study design and the responses reported. DISCUSSION: Given the inconsistency in the reported responses, the precise changes to human function remain unknown. However, there is sufficient evidence to warrant the design of studies which investigate occupationally relevant physical performance changes following WBV.

Effects of two neuromuscular training programs on running biomechanics with load carriage: a study protocol for a randomised controlled trial.

BACKGROUND: In recent years, athletes have ventured into ultra-endurance and adventure racing events, which tests their ability to race, navigate, and survive. These events often require race participants to carry some form of load, to bear equipment for navigation and survival purposes. Previous studies have reported specific alterations in biomechanics when running with load which potentially influence running performance and injury risk. We hypothesize that a biomechanically informed neuromuscular training program would optimize running mechanics during load carriage to a greater extent than a generic strength training program. METHODS: This will be a two group, parallel randomized controlled trial design, with single assessor blinding. Thirty healthy runners will be recruited to participate in a six weeks neuromuscular training program. Participants will be randomized into either a generic training group, or a biomechanically informed training group. Primary outcomes include self-determined running velocity with a 20 % body weight load, jump power, hopping leg stiffness, knee extensor and triceps-surae strength. Secondary outcomes include running kinetics and kinematics. Assessments will occur at baseline and post-training. DISCUSSION: To our knowledge, no training programs are available that specifically targets a runner's ability to carry load while running. This will provide sport scientists and coaches with a foundation to base their exercise prescription on. TRIAL REGISTRATION: ANZCTR ( ACTRN12616000023459 ) (14 Jan 2016).

The effects of military body armour on trunk and hip kinematics during performance of manual handling tasks (.).

Musculoskeletal injuries are reported as burdening the military. An identified risk factor for injury is carrying heavy loads; however, soldiers are also required to wear their load as body armour. To investigate the effects of body armour on trunk and hip kinematics during military-specific manual handling tasks, 16 males completed 3 tasks while wearing each of 4 body armour conditions plus a control. Three-dimensional motion analysis captured and quantified all kinematic data. Average trunk flexion for the weightiest armour type was higher compared with control during the carry component of the ammunition box lift (p < 0.001) and sandbag lift tasks (p < 0.001). Trunk rotation ROM was lower for all armour types compared with control during the ammunition box place component (p < 0.001). The altered kinematics with body armour occurred independent of armour design. In order to optimise armour design, manufacturers need to work with end-users to explore how armour configurations interact with range of personal and situational factors in operationally relevant environments. Practitioner Summary: Musculoskeletal injuries are reported as burdening the military and may relate to body armour wear. Body armour increased trunk flexion and reduced trunk rotation during military-specific lifting and carrying tasks. The altered kinematics may contribute to injury risk, but more research is required.

The Effect of Backpack Carriage on the Biomechanics of Walking: A Systematic Review and Preliminary Meta-Analysis.

The aim of this systematic review was to evaluate the impact of bilaterally symmetrical backpack systems borne on the posterior trunk on walking biomechanics, as backpacks represent the most prevalent method of load carriage in the military and civilian population. A search of electronic databases was performed for studies that only investigated posteriorly-borne backpack carriage during level-grade walking (treadmill and over ground). Methodology of studies was assessed, and both meta-analysis and qualitative synthesis were completed. Fifty-four studies were included in this review. In summary, the available literature showed that backpack carriage in walking was associated with an increased trunk flexion angle, increased hip and ankle range of motion, increased vertical and horizontal ground reaction force, increased cadence, and reduced stride length. Several variations in backpack carriage protocols could explain between-study variations in results, including: walking speed, backpack carriage skill level, the use of a hip belt, and posterior displacement of the load away from the trunk. The findings of this systematic review will inform backpack carriage practices in the area of injury risk assessment and physical performance enhancement.

Trunk postures and upper-body muscle activations during physically demanding wildfire suppression tasks.

This study examined the trunk postures and upper-body muscle activations during four physically demanding wildfire suppression tasks. Bilateral, wireless surface electromyography was recorded from the trapezius and erector spinae muscles of nine experienced, wildfire fighters. Synchronised video captured two retroreflective markers to allow for quantification of two-dimensional sagittal trunk flexion. In all tasks, significantly longer time was spent in the mild and severe trunk flexion (p ≤ 0.002) compared to the time spent in a neutral posture. Mean and peak muscle activation in all tasks exceeded previously established safe limits. These activation levels also significantly increased through the performance of each task (p < 0.001). The results suggest that the wildfire suppression tasks analysed impose significant musculoskeletal demand on firefighters. Fire agencies should consider developing interventions to reduce the exposure of their personnel to these potentially injurious musculoskeletal demands.

The effectiveness of health interventions in cardiovascular risk reduction among emergency service personnel.

PURPOSE: The physical demands and hazards associated with emergency service work place particular stress on responders' cardiovascular systems. Indeed, cardiovascular disease (CVD) is a significant problem for emergency service personnel. Although it may be difficult to alter the cardiovascular health hazards associated with the work environment, it is possible for personnel to control their modifiable CVD risk factors, cardiovascular fitness levels and subsequently, reduce their CVD risk. This review aimed to determine the effectiveness and methodological quality of health interventions designed to mitigate CVD risk in emergency service personnel. METHODS: A literature search of electronic journal databases was performed. Sixteen relevant studies were assessed for methodological quality using a standardised assessment tool. Data regarding the effectiveness of each intervention were extracted and synthesised in a narrative format. RESULTS: Fifteen studies were rated 'Weak' and one study was rated 'Strong'. Interventions which combined behavioural counselling, exercise and nutrition were more effective in improving cardiovascular health than nutrition, exercise or CVD risk factor assessment-based interventions alone. Further, CVD risk factor assessment in isolation proved to be an ineffective intervention type to reduce CVD risk. CONCLUSION: Combined interventions appear most effective in improving the cardiovascular health of emergency service personnel. Accordingly, fire and emergency service agencies should consider trialling multifaceted interventions to improve the cardiovascular health of personnel and avoid interventions focused only on one of nutrition, exercise or CVD risk factor assessment. However, as most studies were methodologically weak, further studies of a higher methodological quality are needed.

Validity of an upper-body-mounted accelerometer to measure peak vertical and resultant force during running and change-of-direction tasks.

This study assessed the validity of a tri-axial accelerometer worn on the upper body to estimate peak forces during running and change-of-direction tasks. Seventeen participants completed four different running and change-of-direction tasks (0 degrees, 45 degrees, 90 degrees, and 180 degrees; five trials per condition). Peak crania-caudal and resultant acceleration was converted to force and compared against peak force plate ground reaction force (GRF) in two formats (raw and smoothed). The resultant smoothed (10 Hz) and crania-caudal raw (except 180 degrees) accelerometer values were not significantly different to resultant and vertical GRF for all running and change-of-direction tasks, respectively. Resultant accelerometer measures showed no to strong significant correlations (r = 0.00-0.76) and moderate to large measurement errors (coefficient of variation [CV] = 11.7-23.9%). Crania-caudal accelerometer measures showed small to moderate correlations (r = -0.26 to 0.39) and moderate to large measurement errors (CV = 15.0-20.6%). Accelerometers, within integrated micro-technology tracking devices and worn on the upper body, can provide a relative measure of peak impact force experienced during running and two change-of-direction tasks (45 degrees and 90 degrees) provided that resultant smoothed values are used.

Predicting neck pain in Royal Australian Air Force fighter pilots.

OBJECTIVE: Fighter pilots frequently report neck pain and injury, and although risk factors have been suggested, the relationships between risk factors and neck pain have not been quantified. The aim of this study was to identify personal and work behaviors that are significantly associated with neck pain in fighter pilots. METHODS: Eighty-two Royal Australian Air Force fighter pilots were surveyed about their flying experience, neck pain prevalence, and prevention. Multinomial logistic regressions were used to fit models between pilots' neck pain during and after flight and a range of personal and work characteristics. RESULTS: In-flight neck pain was very weakly, yet positively associated with flight hours. Duration of postflight pain was positively associated with the weekly desktop work hours and the sum of preventative actions taken in flight. The duration pilots were considered temporarily medically unfit for flying was positively associated with pilots' age and their weekly desktop work hours. DISCUSSION: The risk factors identified by the current study should guide neck pain prevention for fighter pilots. In particular, reducing desktop working hours as well as incorporating specific neck-strengthening exercises and in-flight bracing actions should be considered by agencies to help alleviating neck pain in their pilots.

Body armor, performance, and physiology during repeated high-intensity work tasks.

This study examined the effect of body armor during repeated, intermittent high-intensity simulated military work. Twelve males performed 11 repetitions of a military style circuit, wearing no armor on one occasion and full armor (approximately 17 kg) on another. Performance was measured by the time to complete individual work tasks plus overall circuit time to completion. Heart rate, intestinal temperature, and rating of perceived exertion were recorded after each circuit. Participants' circuit time to completion was 7.3 +/- 1.0 seconds slower (p <0.01) when wearing armor. Shooting, vaulting, and crawling were also slower (0.8 +/- 0.2, 0.4 +/- 0.2, and 1.0 +/- 0.4 seconds, respectively; all p < or = 0.05). No differences were observed for box lifting. Higher core temperatures were reported for the armor condition for circuit's 7 to 11 (p = 0.01-0.05). Rating of perceived exertion was higher (1 +/- 0; p = 0.03) when wearing armor. No differences were observed for heart rate. Wearing armor impairs repeated high-intensity military task performance. In the relatively short work time utilized, this decrement did not accrue over time. The impairment may, then, be related to the armor load, rather than accumulating fatigue.

Posture and Muscle Activity during Waste Collection Work.

The musculoskeletal load in waste collection has been examined through simulated assessment of pulling and pushing bins as well as lifting and throwing rubbish bags. With the onset of mechanization, many of these tasks do not exist and workers are faced with other loads not previously assessed. The purpose of this study was to quantify the postures and muscle activity during mechanized waste collection work. Three subtasks of mechanized waste collection were identified, namely driving, bin collection, and egress and access of the vehicle. Spinal, shoulder, and upper limb kinematics along with surface electromyography from three muscles were collected during these tasks in a typical work shift. During driving and bin collection, participants adopted a head-extended, torso forward-flexed posture with frequent rotations of the head and neck. Egress and access of the vehicle produced substantially larger ranges of movement compared with driving and bin collection. The forward-flex, sitting posture can increase the risk of low back pain if there are undulations in the terrain and if this posture is adopted for prolonged periods. The frequent head and neck rotations can increase the incidence and severity of neck pain. Prolonged driving has been linked with an increased cardiometabolic risk and egress and access has increased risk of trips and falls from a height. Managers of waste collection workers should consider implementing interventions to reduce the exposure of this important workforce to the deleterious demands of their work.

Validating an inertial measurement unit for cricket fast bowling: a first step in assessing the feasibility of diagnosing back injury risk in cricket fast bowlers during a tele-sport-and-exercise medicine consultation.

This study aimed to validate an array-based inertial measurement unit to measure cricket fast bowling kinematics as a first step in assessing feasibility for tele-sport-and-exercise medicine. We concurrently captured shoulder girdle relative to the pelvis, trunk lateral flexion, and knee flexion angles at front foot contact of eight cricket medium-fast bowlers using inertial measurement unit and optical motion capture. We used one sample t-tests and 95% limits of agreement (LOA) to determine the mean difference between the two systems and Smallest Worth-while Change statistic to determine whether any differences were meaningful. A statistically significant (p < 0.001) but small mean difference of -4.7° ± 8.6° (95% Confidence Interval (CI) [-3.1° to -6.4°], LOA [-22.2 to 12.7], SWC 3.9°) in shoulder girdle relative to the pelvis angle was found between the systems. There were no statistically significant differences between the two systems in trunk lateral flexion and knee flexion with the mean differences being 0.1° ± 10.8° (95% CI [-1.9° to 2.2°], LOA [-22.5 to 22.7], SWC 1.2°) and 1.6° ± 10.1° (95% CI [-0.2° to 3.3°], LOA [-19.2 to 22.3], SWC 1.9°) respectively. The inertial measurement unit-based system tested allows for accurate measurement of specific cricket fast bowling kinematics and could be used in determining injury risk in the context of tele-sport-and-exercise-medicine.

The effect of body armor on performance, thermal stress, and exertion: a critical review.

Armed forces worldwide utilize some form of body armor as part of their personal protective system. This is particularly essential in recent times because of the increased sophistication of weapons employed during modern warfare and the advent of unconventional combat methods (such as the increased use of improvised explosive devices). There is some evidence to show, however, that the usage of military body armor impairs physical performance. This review of the literature will focus on the effect of body armor on the performance of, and physiological and subjective responses during, military-style physical tasks. Because of the paucity of research investigating body armor, this review will also draw upon more generalized personal protective clothing and equipment literature from a range of physically demanding occupations (i.e., firefighting and other emergency services). The review will conclude with suggested directions for future research in this area.

Management of neck pain in Royal Australian Air Force fast jet aircrew.

To examine the type and effectiveness of various strategies used by Royal Australian Air Force (RAAF) fast jet (FJ) aircrew in self-referral and management of flight-related neck pain, a 6-section, 18-question survey tool was distributed to 86 eligible RAAF aircrew. Selective results from the sections evaluating aircrew demographics, incidence of flight-related neck pain, and the self-referral strategies of aircrew to manage these injuries are presented here. Eighty-two RAAF FJ aircrew responded to the survey. Ninety-five percent of the respondents experienced flight-related neck pain. The most commonly sought treatment modalities were on-base medical and physiotherapy services. Many respondents reported that currently provided on-base treatment and ancillary services such as chiropractic therapy are the most effective in alleviating symptoms. Further investigation into the effectiveness and safety of these ancillary therapies needs to be performed to allow appropriate consideration of their place in the management of neck pain in FJ aircrew.

Lower-limb stiffness mediates speed but not turning angle during unplanned side-step cutting.

An inability to pre-plan a side-step cutting maneuver results in a greater reduction in speed and shallower cut angle. Although leg stiffness has not been directly quantified in cutting, indirect evidence suggest that greater stiffness may benefit cutting speed, but lower stiffness may benefit cut angle. No studies have investigated if stiffness causally mediates the relationship between anticipation, cutting speed and angle. The aims of the present study were to determine the influence of anticipatory cues on leg stiffness, and quantify the mediation effects of stiffness on cutting speed and angle. Seventeen healthy participants performed a 45° cut at an approach speed of 4 m/s. Leg stiffness (% bodyweight/leg length [BW/LL]), cutting angle and change in running speed between initial contact and toe-off of the cut were calculated. Causal mediation analysis was performed with anticipatory cues as the independent variable, cutting speed and angle as the dependent variables, and stiffness as the mediator. Unanticipated cutting significantly increased leg stiffness (ß=3.82%BW/LL,P=0.005) compared to anticipated cutting. The average causal mediation effect of stiffness on cutting angle was not significant (P = 0.68). The average causal mediation effect of stiffness on cutting speed was significant (-0.02 m/s [95%CI -0.04 to 0.00 m/s, P = 0.016). Reduced preplanning time in cutting increased leg stiffness. Alterations in leg stiffness only explained the change in speed, and not angle, associated with cutting under different anticipatory cues. Loss of speed when cutting is unplanned may be mitigated by improving leg stiffness.

Head Accelerations during a 1-on-1 Rugby Tackling Drill Performed by Experienced Rugby Union Players.

Rugby Union is a popular sport played by males and females worldwide, from junior to elite levels. The highly physical skill of tackling occurs every few seconds throughout a match and various injuries associated with tackling are relatively common. Of particular interest are head injuries that result in a concussion. Recently, repeated non-injurious head impacts in sport have attracted the attention of researchers interested in brain health. Therefore, this study assessed head movement during repeated rugby tackle drills among experienced Rugby Union players. Experienced male and female participants performed 15 1-on-1 tackles in a motion analysis laboratory to measure the head movements of the ball carrier and tackler during each tackle, using three-dimensional motion capture. The average peak acceleration of the head for ball carriers was 28.9 ± 24.08 g and 36.67 ± 28.91 g for the tacklers. This study found that the type of head impacts common while performing a tackle in Rugby Union are similar to those experienced by soccer players during heading, which has been found to alter brain function that lasts hours after the event. This has important implications for player health and suggests that mitigation strategies should be considered for Rugby Union.