The Influence of an 8-Week Strength and Corrective Exercise Intervention on the Overhead Deep Squat and Golf Swing Kinematics.

ABSTRACT: Langdown, BL, Bridge, MW, and Li, F-X. The influence of an 8-week strength and corrective exercise intervention on the overhead deep squat and golf swing kinematics. J Strength Cond Res 37(2): 291-297, 2023-It has previously been suggested that performance of the overhead squat (OHS) is a useful predictor of loss of posture in the golf swing. Using an 8-week intervention to improve OHS performance, this study assessed this suggestion and analyzed the impact of any resultant physical adaptations on golf swing kinematics. Thirty-seven golfers (handicap = 14.8 ± 13.3) were randomly split into a control group ( n = 16) and an intervention group ( n = 21)-who completed an 8-week strength and flexibility program. Pre- and postintervention OHS assessments and 3-dimensional (3D) 6-iron swing kinematics were captured. The level of significance set for the study was p < 0.05. Despite the intervention group's significant improvement in OHS thigh angle ( p < 0.001), there were no significant changes in 3D swing kinematics between the groups and over pre- and posttesting for address ( p = 0.219), top of the backswing ( p = 0.977), and impact ( p = 0.994). In addition, regression analysis revealed that the 4 measured OHS variables were significant and small predictors of swing kinematic variables at the top of backswing and impact (ranging from R2 = 0.109 to R2 = 0.300). These may, however, be spurious relationships as swing changes could be expected following the intervention if they were indeed true predictors of the postural variables. The use of the OHS to understand the cause of loss of posture during the golf swing is therefore not recommended because many other variables could influence swing kinematics. It may, however, be a useful assessment tool for strength and range of movement, provided that any motor learning issues are resolved before results influencing conditioning programs.

Spikes in acute:chronic workload ratio (ACWR) associated with a 5-7 times greater injury rate in English Premier League football players: a comprehensive 3-year study.

OBJECTIVES: We examined the relation between global positioning system (GPS)-derived workloads and injury in English Premier League football players (n=33) over three seasons. METHODS: Workload and injury data were collected over three consecutive seasons. Cumulative (1-weekly, 2-weekly, 3-weekly and 4-weekly) loads in addition to acute:chronic workload ratios (ACWR) (acute workload (1-week workload)) divided by chronic workload (previous 4-week average acute workload) were classified into discrete ranges by z-scores. Relative risk (RR) for each range was then calculated between injured and non-injured players using specific GPS variables: total distance, low-intensity distance, high-speed running distance, sprint distance, accelerations and decelerations. RESULTS: The greatest non-contact injury risk was when the chronic exposure to decelerations was low (<1731) and the ACWR was >2.0 (RR=6.7). Non-contact injury risk was also 5-6 times higher for accelerations and low-intensity distance when the chronic workloads were categorised as low and the ACWR was >2.0 (RR=5.4-6.6), compared with ACWRs below this. When all chronic workloads were included, an ACWR >2.0 was associated with a significant but lesser injury risk for the same metrics, plus total distance (RR=3.7-3.9). CONCLUSIONS: We recommend that practitioners involved in planning training for performance and injury prevention monitor the ACWR, increase chronic exposure to load and avoid spikes that approach or exceed 2.0.

Modifications in lower leg muscle activation when walking barefoot or in minimalist shoes across different age-groups.

Ageing is associated with a decline in muscle strength and impaired sensory mechanisms which contribute to an increased risk of falls. Walking barefooted has been suggested to promote increased muscle strength and improved proprioceptive sensibility through better activation of foot and ankle musculature. Minimalist footwear has been marketed as a method of reaping the suggested benefits of barefoot walking whilst still providing a protective surface. The aim of this study was to investigate if walking barefoot or in minimalist footwear provokes increased muscle activation compared to walking in conventional footwear. Seventy healthy adults (age range 20-87) volunteered for this study. All participants walked along a 7m walking lane five times in four different footwear conditions (barefoot (BF), minimalist shoes (MSH), their own shoes (SH) and control shoes (CON)). Muscle activity of their tibialis anterior (TA), gastrocnemius medialis (GCM) and peroneus longus (PL) were recorded simultaneously and normalised to the BF condition. MSH are intermediate in terms of ankle kinematics and muscle activation patterns. Walking BF or in MSH results in a decrease in TA activity at initial stance due to a flatter foot at contact in comparison to conventional footwear. Walking BF reduces PL activity at initial stance in the young and middle age but not the old. Walking in supportive footwear appears to reduce the balance modulation role of the GCM in the young and middle age but not the old, possibly as a result of slower walking speed when BF.

Anterior or posterior walkers for children with cerebral palsy? A systematic review.

OBJECTIVE: To review the literature comparing use of anterior and posterior walkers (PW's) by children with cerebral palsy (CP) to determine which walker type is preferable. METHODS: Electronic databases were searched using pre-defined terms by two independent reviewers. Reference lists of included studies were hand searched. Studies published between 1985 and 2016 comparing use of anterior and PW's by children with CP were included. All study designs and outcomes were accepted. Risk of bias was assessed using the "Quality assessment standard for a cross-over study". Quality of evidence was evaluated using GRADE. RESULTS: Six studies were analysed. All studies had small sample sizes. A total of 4/6 studies were randomized. A total of 4/6 had high risk of bias. Outcomes included velocity, pelvic tilt, hip flexion, knee flexion, step length, stride length, cadence, double stance time, oxygen cost and participant/parental preference. Velocity, trunk flexion/pelvic tilt, and stability may be improved by using a PW, however, GRADE quality was very low for all outcomes and there was heterogeneity between studies. The majority of participants and parents preferred the PW. CONCLUSIONS: Heterogeneity and low quality of existing evidence prevented recommendation of one walker type. Well-designed studies with adequate power are needed to inform clinical recommendations. Implications for rehabilitation Clinical recommendations cannot be made for whether anterior or posterior walkers are preferable for children with cerebral palsy based on the existing evidence. Velocity, trunk flexion/pelvic tilt, and stability may be improved by using a posterior walker. The majority of walking aid users and their parents preferred posterior walkers. Adequately powered studies designed to minimize bias are needed.

Bicycle rider control skills: expertise and assessment.

Research on how human balance and control bicycles are inconclusive, largely due to the small number of participants in the previous studies. Therefore, the aim of this study was to test the hypotheses that 1) cycling lateral deviation amplitude will reliably show differences between more and less experienced cyclists and 2) more experienced will exhibit slower and smaller steering motions compared to the less experienced cyclists. Twenty-eight experienced and inexperienced cyclists rode a bicycle in a straight line. Lateral deviation, steering and roll were measured. Intersession reliability of the deviation was high with Cronbach's alpha values higher than 0.75. The amplitude, variability and rate of steering and roll parameters showed statistically significant differences between the groups. The test used in this study is sensitive to detect differences between more and less experienced cyclists and can be used for further research that aims to test the effect of a specific intervention addressing rider control. We also showed that steering and roll angle, which were described before as two of the main motor control actions in bicycle control, differ in the variability, amplitude and rate between more and less experienced cyclists. The results of the present study have practical implications for improving bicycle rider control and increasing the safety of cyclists.

Accumulated workloads and the acute:chronic workload ratio relate to injury risk in elite youth football players.

AIM: The purpose of this study was to investigate the relationship between physical workload and injury risk in elite youth football players. METHODS: The workload data and injury incidence of 32 players were monitored throughout 2 seasons. Multiple regression was used to compare cumulative (1, 2, 3 and 4-weekly) loads and acute:chronic (A:C) workload ratios (acute workload divided by chronic workload) between injured and non-injured players for specific GPS and accelerometer-derived variables:total distance (TD), high-speed distance (HSD), accelerations (ACC) and total load. Workloads were classified into discrete ranges by z-scores and the relative risk was determined. RESULTS: A very high number of ACC (≥9254) over 3 weeks was associated with the highest significant overall (relative risk (RR)=3.84) and non-contact injury risk (RR=5.11). Non-contact injury risk was significantly increased when a high acute HSD was combined with low chronic HSD (RR=2.55), but not with high chronic HSD (RR=0.47). Contact injury risk was greatest when A:C TD and ACC ratios were very high (1.76 and 1.77, respectively) (RR=4.98). CONCLUSIONS: In general, higher accumulated and acute workloads were associated with a greater injury risk. However, progressive increases in chronic workload may develop the players' physical tolerance to higher acute loads and resilience to injury risk.

Barefoot vs common footwear: A systematic review of the kinematic, kinetic and muscle activity differences during walking.

Habitual footwear use has been reported to influence foot structure with an acute exposure being shown to alter foot position and mechanics. The foot is highly specialised thus these changes in structure/position could influence functionality. This review aims to investigate the effect of footwear on gait, specifically focussing on studies that have assessed kinematics, kinetics and muscle activity between walking barefoot and in common footwear. In line with PRISMA and published guidelines, a literature search was completed across six databases comprising Medline, EMBASE, Scopus, AMED, Cochrane Library and Web of Science. Fifteen of 466 articles met the predetermined inclusion criteria and were included in the review. All articles were assessed for methodological quality using a modified assessment tool based on the STROBE statement for reporting observational studies and the CASP appraisal tool. Walking barefoot enables increased forefoot spreading under load and habitual barefoot walkers have anatomically wider feet. Spatial-temporal differences including, reduced step/stride length and increased cadence, are observed when barefoot. Flatter foot placement, increased knee flexion and a reduced peak vertical ground reaction force at initial contact are also reported. Habitual barefoot walkers exhibit lower peak plantar pressures and pressure impulses, whereas peak plantar pressures are increased in the habitually shod wearer walking barefoot. Footwear particularly affects the kinematics and kinetics of gait acutely and chronically. Little research has been completed in older age populations (50+ years) and thus further research is required to better understand the effect of footwear on walking across the lifespan.

Prolonged cycling alters stride time variability and kinematics of a post-cycle transition run in triathletes.

Previous studies have employed relatively short cycling protocols to investigate the effect of cycling on muscle activation and kinematics in running. The aim of this study was to investigate the effect of 3h of cycling on stride time variability (STV), stride length, tibialis anterior (TA) activation, and lower limb range of motion (ROM) in a transition run. Eight triathletes completed a run-cycle-run protocol. Data were collected from a pre-cycle run and a transition run after 3h of cycling. STV, stride length and ROM were assessed using three-dimensional motion analysis, and TA activation was recorded using surface electromyography. Results showed that compared with the pre-cycle run triathletes exhibited increased STV (Cohen's d=0.95) and shorter strides (d=0.15) in the transition run (p<0.05). TA activation and ROM did not change. After 10min of transition running, ankle and hip ROM significantly increased (d=0.40 and 0.41 respectively) compared to the beginning of the transition run (p<0.05) but no other changes were observed. The results suggest that locomotor control and kinematics in a transition run are affected by prolonged cycling and stride time variability is potentially a novel method of evaluating the immediate effect of prolonged cycling on the locomotor control of running.

Validity and reliability of different kinematics methods used for bike fitting.

The most common bike fitting method to set the seat height is based on the knee angle when the pedal is in its lowest position, i.e. bottom dead centre (BDC). However, there is no consensus on what method should be used to measure the knee angle. Therefore, the first aim of this study was to compare three dynamic methods to each other and against a static method. The second aim was to test the intra-session reliability of the knee angle at BDC measured by dynamic methods. Eleven cyclists performed five 3-min cycling trials; three at different seat heights (25°, 30° and 35° knee angle at BDC according to static measure) and two at preferred seat height. Thirteen infrared cameras (3D), a high-speed camera (2D), and an electrogoniometer were used to measure the knee angle during pedalling, when the pedal was at the BDC. Compared to 3D kinematics, all other methods statistically significantly underestimated the knee angle (P = 0.00; η(2) = 0.73). All three dynamic methods have been found to be substantially different compared to the static measure (effect sizes between 0.4 and 0.6). All dynamic methods achieved good intra-session reliability. 2D kinematics is a valid tool for knee angle assessment during bike fitting. However, for higher precision, one should use correction factor by adding 2.2° to the measured value.

Metabolic and kinematic effects of self-selected Q Factor during bike fit.

Correct bicycle fit is important, and kinematic instability must be addressed to reduce the risk of knee injury. A change in Q Factor (horizontal distance between crank arms) has been shown to decrease metabolic cost. The combined effect upon gross mechanical efficiency (GME) and knee variability is unclear, however; there is no known simple method to predict self-selected Q Factor (SSQ). The SSQ was hypothesized to provide the greatest GME and least variability at the knee. Ten trained cyclists completed bouts of submaximal cycling at a range of Q Factors. The effectiveness of hanging and stepping tasks as predictors of SSQ was also tested. Measured SSQ (142 mm) provided the best combination of GME and knee stability compared with other Q Factors, and could be accurately predicted using a simple hanging task. The SSQ has the potential to lower the risk of knee injury and provide increased efficiency whilst cycling.

Changes in timing of muscle contractions and running economy with altered stride pattern during running.

Large alterations to the preferred running stride decrease running economy, and shorter strides increase leg muscle activity. However, the effect of altered strides on the timing of leg muscle activation is not known. The aim of this study was to evaluate the impact of moderate alterations to the running stride on running economy and the timing of biceps femoris (BF), vastus lateralis (VL) and gastrocnemius (GAST) muscle contractions. The preferred stride pattern for eleven trained male runners was measured prior to a separate visit where participants ran for bouts of 5 min whilst synchronising foot contacts to a metronome signal which was tuned to (1) the preferred stride, and (2) frequencies which related to ± 8% and ± 4% of the preferred stride length. Running economy was measured at each stride pattern along with electromyography and three-dimensional kinematics to estimate onset and offset of muscle contractions for each muscle. Running economy was greatest at the preferred stride length. However, a quadratic fit to the data was optimised at a stride which was 2.9% shorter than preferred. Onset and offset of BF and VL muscle contractions occurred earlier with shorter than preferred strides. We detected no changes to the timing of muscle contractions with longer than preferred strides and no changes to GAST muscle contractions. The results suggest that runners optimise running economy with a stride length that is close to, but shorter than, the preferred stride, and that timing of BF and VL muscle contractions change with shorter than preferred strides.

The impact of altered task mechanics on timing and duration of eccentric bi-articular muscle contractions during cycling.

In order to understand muscle adaptations to altered task mechanics during cycling, this study investigated the impact of altered seat height and cadence on timing and duration of gastrocnemius (GAST), biceps femoris (BF) and vastus lateralis (VL) eccentric contractions and muscle activation patterns, and cycling economy. Ten male cyclists completed 9 × 5 min of cycling at 3 seat heights and 3 cadences. Three-dimensional leg kinematics and muscle activation patterns were recorded to estimate timing of eccentric muscle contractions. Onset, offset and duration of eccentric contractions and, onset, offset and duration of muscle activation were calculated, along with cycling economy. Duration of GAST and VL eccentric contractions decreased with increasing seat height due to earlier offset of eccentric muscle contractions. Duration of BF eccentric contractions significantly increased with seat height due to a later eccentric contraction offset. Offset of GAST and BF muscle activation occurred earlier with increasing cadence. Cycling economy was significantly affected by cadence but not seat height. The results suggest that as a consequence of altered seat height, proprioceptive feedback is used to fine-tune the timing of bi-articular eccentric muscle contractions. These results may have implications for seat height self-selection.

Movement variability in the golf swing.

Traditionally, golf biomechanics has focused upon achieving consistency in swing kinematics and kinetics, whilst variability was considered to be noise and dysfunctional. There has been a growing argument that variability is an intrinsic aspect of skilled motor performance and plays a functional role. Two types of variability are described: 'strategic shot selection' and 'movement variability'. In 'strategic shot selection', the outcome remains consistent, but the swing kinematics/kinetics (resulting in the desired ball flight) are free to vary; 'movement variability' is the changes in swing kinematics and kinetics from trial to trial when the golfer attempts to hit the same shot. These changes will emerge due to constraints of the golfer's body, the environment, and the task. Biomechanical research has focused upon aspects of technique such as elite versus non-elite kinematics, kinetics, kinematic sequencing, peak angular velocities of body segments, wrist function, ground reaction forces, and electromyography, mainly in the search for greater distance and clubhead velocity. To date very little is known about the impact of variability on this complex motor skill, and it has yet to be fully researched to determine where the trade-off between functional and detrimental variability lies when in pursuit of enhanced performance outcomes.

The role of haptic exploration of ground surface information in perception of overhead reachability.

The authors performed an experiment in which participants (N = 24) made judgments about maximum jump and reachability on ground surfaces with different elastic properties: sand and a trampoline. Participants performed judgments in two conditions: (a) while standing and after having recently jumped on the surface in question and (b) while standing on a third control surface, eliminating haptic exploration of the surface in question. There was a high correlation between perceived maximum reachable height and actual maximum reachable height in all conditions. Judging performance on the basis of visual and haptic exploration of ground surface information was slightly overestimated, whereas performance on the basis of visual information alone was underestimated and variable for the different surfaces. The authors discuss possible causes for the observed errors. They emphasize that there is a considerable nonvisual aspect to the nature of the information specifying affordances for overhead reach and jumping and that perceptual performance is degraded when spontaneous exploratory movement is restricted.

Effects of response task on reaction time and the detection of affordances.

Studies on affordance perception commonly report systematic errors; a finding that is at odds with the observation that everyday motor behavior is accurate. The present study investigated whether the means by which perceptual performance is measured could explain the reported errors. Perception of overhead reachability and reaction time were measured using a verbal and an actual reaching response in a standing reach, and a reach-and-jump. Results show that participants accurately perceived their action boundaries for both tasks and in both response conditions. A simple reach, however, took less time to initiate (1,094 ms) than a reach-and jump (1,214 ms). Interestingly, the verbal response took considerably more time to initiate (1,424 ms) than the actual reach (1,154 ms). These results suggest that making verbal judgments about affordances is a different task than actually acting on them. It is therefore concluded that the use of conscious judgments to measure perceptual performance should be considered with care.