Effect of cross-slope angle on running economy and gait characteristics at moderate running velocity.

PURPOSE: Outdoor running surfaces are designed with a cross-slope, which can alter kinetic and kinematic gait parameters. The purpose of this study was to evaluate running economy, gait characteristics, and muscle activation while running on a surface with cross-slopes similar to those encountered on roads and trails. METHODS: Eleven recreational runners (females n = 6) completed 5-min running trials on a treadmill at 10 km h-1 with cross-slopes of 0, 1.15, 2.29, and 6 deg in a randomized order. RESULTS: There were no significant differences in VO2, HR, RER, or VE across cross-slope conditions. Compared to 0 deg of cross-slope, ground contact time and duty factor increased at 2.29 and 6 deg, with significant decreases in absolute and relative flight times. Rear foot angles increased in the upslope leg at 2.29 and 6 deg cross-slopes and decreased in the downslope leg at 6 deg compared to 0 deg of cross-slope, with differences between legs for the 2.29 and 6 deg conditions. Knee flexion at foot strike increased in the upslope leg at a 6 deg cross-slope. Vastus lateralis, biceps femoris, gastrocnemius, and tibialis anterior activation were not affected by the cross-slope conditions. While cross-slopes up to 6 deg result in changes to some gait kinematics, these effects do not impact running economy at moderate running velocity.

Validity and reliability of a new hip flexor muscles flexibility assessment tool: The reactive hip flexor (RHF) test.

BACKGROUND: The modified Thomas test is the most used and most reliable test to assess the hip flexors' flexibility. However it does not evaluate the interaction of both legs. The objective of this study is to propose a new assessment tool for hip flexor flexibility, the Reactive Hip Flexion (RHF) Test. METHODS: An observational, intra-test, and test-retest study with repeated measures was carried out with the aim of assessing the validity and reliability of the RHF Test. The participants were males and females aged between 18 and 35 years old who had a training schedule of at least 2 days a week, without a musculoskeletal lower limb or lumbopelvic pathology. The reliability of the test was examined using the intraclass correlation coefficients (ICCs) by a two-way random model to establish inter-rater reliability and a two-way mixed model to assess intra-rater reliability. The precision was measured by the standard error of measurement (SEM). In addition, the minimum detectable change (MDC95%) was calculated. RESULTS: Twenty-six participants (52 hips) (47% female) completed the study. No correlations were observed between anthropometric variables and RHF peak force or active knee extension (AKE) measurements. There was an excellent intra-rater and inter-rater ICC in the hip flexors' reactive peak force and the AKE measurements, with a low SEM. CONCLUSIONS: This study demonstrated that the proposed RHF test technique is valid and reliable when used in healthy youth population.

Systematic reduction of leg muscle activity throughout a standard assessment of running footwear.

PURPOSE: This study aimed to investigate whether there is a systematic change of leg muscle activity, as quantified by surface electromyography (EMG), throughout a standard running footwear assessment protocol at a predetermined running speed. METHODS: Thirty-one physically active adults (15 females and 16 males) completed 5 testing rounds consisting of overground running trials at a speed of 3.5 m/s. The level of muscle activity from 6 major leg muscles was recorded using surface EMG. The variables assessed were the EMG total intensity as a function of time and the cumulative EMG overall intensity. Systematic effects of the chronological testing round (independent variable) on the normalized EMG overall intensity (dependent variable) were examined using Friedman analysis of variates and post hoc pairwise Wilcoxon signed-rank tests (α = 0.05). RESULTS: There was a systematic reduction in overall EMG intensity for all 6 muscles over the time course of the running protocol (p < 0.001) until the fourth testing round when EMG intensities reached a steady state. The one exception was the biceps femoris muscle, which showed a significant reduction of EMG intensity during the stance phase (p < 0.001) but not the swing phase (p = 0.16). CONCLUSION: While running at a predetermined speed, the neuromuscular system undergoes an adaptation process characterized by a progressive reduction in the activity level of major leg muscles. This process may represent an optimization strategy of the neuromuscular system towards a more energetically efficient running style. Future running protocols should include a familiarization period of at least 7 min or 600 strides of running at the predetermined speed.

Mechanical Energy Expenditure at Lumbar Spine and Lower Extremity Joints During the Single-Leg Squat Is Affected by the Nonstance Foot Position.

ABSTRACT: Hirsch, SM, Chapman, CJ, Frost, DM, and Beach, TAC. Mechanical energy expenditure at lumbar spine and lower extremity joints during the single-leg squat is affected by the nonstance foot position. J Strength Cond Res 36(9): 2417-2426, 2022-Previous research has shown that discrete kinematic and kinetic quantities during bodyweight single-leg squat (SLS) movements are affected by elevated foot positioning and sex of the performer, but generalizations are limited by the high-dimensional data structure reported. Using a 3D inverse dynamical linked-segment model, we quantified mechanical energy expenditure (MEE) at each joint in the kinetic chain, the total MEE (sum of MEE across aforesaid joints), and the relative contribution of each joint to total MEE during SLSs performed with elevated foot positioned beside stance leg (SLS-Side), and in-front of (SLS-Front) and behind (SLS-Back) the body. Total MEE differed between SLS variations ( p = 0.002), with the least amount observed in the SLS-Back (effect size [ES] = 0.066-0.069). Approximately 50% of total MEE was contributed by the knee joint in each SLS variation, whereas MEE at the ankle, hip, and lumbar spine (in absolute and relative terms) varied complexly as a function of the elevated foot position. Total MEE ( p = 0.0192, ES = 0.852) and the absolute MEE at the knee and spine was greater in men across the SLS variations performed ( p = 0.025-0.036, ES = 0.715-0.766), but only the lumbar spine contribution to total MEE was larger in men across all SLS variations ( p = 0.045, ES = 0.607). Otherwise, there were no other sex-specific responses observed. Biomechanically, SLS movements are generally "knee-dominant," but changing elevated foot position effectively redistributes MEE among other joints in the linkage. Consistent with the previous conclusions reached based on discrete kinematic and kinetic data, not all SLSs are equal.

Sensitivity of the novel two-point force-velocity model: an assessment of leg muscle mechanical capacities.

The recently proposed two-point force-velocity (F-V) model requires further evaluation in order to develop into a simple tool for muscle mechanical capacities assessment. Therefore, the first aim of this study was to assess the concurrent validity of the proposed model. The second aim of this study was to assess the sensitivity of the proposed model concerning participants of different levels of physical fitness when performing different dynamic tasks. Female elite volleyball players (N = 10; age 22 ± 2 years) and female physical education students (N = 10; age 22 ± 2 years) were tested on maximum countermovement jumps (CMJ) and 6 s maximal cycling sprint (MCS), where manipulation of loads provided a range of F and V data. The assessed F-V relationships were valid in comparison with the standard model. Moreover, the concurrent validity of the maximum force parameter (F0) was high for MCS (r ≥ 0.89) and moderate to low for CMJ (r = 0.43). Sensitivity analysis revealed significant differences between F0 in both leg tests (p < 0.04), along with maximum power parameter in CMJ (p = 0.034) between the groups. The proposed model could provide sport practitioners with a straightforward and very effective tool for assessing muscle mechanical capacities.

Sensing leg movement enhances wearable monitoring of energy expenditure.

Physical inactivity is the fourth leading cause of global mortality. Health organizations have requested a tool to objectively measure physical activity. Respirometry and doubly labeled water accurately estimate energy expenditure, but are infeasible for everyday use. Smartwatches are portable, but have significant errors. Existing wearable methods poorly estimate time-varying activity, which comprises 40% of daily steps. Here, we present a Wearable System that estimates metabolic energy expenditure in real-time during common steady-state and time-varying activities with substantially lower error than state-of-the-art methods. We perform experiments to select sensors, collect training data, and validate the Wearable System with new subjects and new conditions for walking, running, stair climbing, and biking. The Wearable System uses inertial measurement units worn on the shank and thigh as they distinguish lower-limb activity better than wrist or trunk kinematics and converge more quickly than physiological signals. When evaluated with a diverse group of new subjects, the Wearable System has a cumulative error of 13% across common activities, significantly less than 42% for a smartwatch and 44% for an activity-specific smartwatch. This approach enables accurate physical activity monitoring which could enable new energy balance systems for weight management or large-scale activity monitoring.

Thermographic assessment of the immediate and short term-effects of blood flow restriction exercise on Achilles tendon skin temperature.

OBJECTIVES: To determine the thermal patterning of the Achilles tendon following bodyweight resistance exercise with and without blood-flow restriction (BFR). DESIGN: Cross-sectional. SETTING: Research laboratory. PARTICIPANTS: Twelve asymptomatic recreational runners (Age: 37 ± 10, Height: 169 ± 20, Mass: 73.8 ± 13.4). MAIN OUTCOME MEASURES: Thermograms were taken pre and post exercise with and without a BFR cuff on separate legs. BFR cuff pressure was set at 80% maximal arterial occlusion pressure determined using doppler via the tibial artery. Linear mixed-effects models were used to assess the effect of BFR and time post-exercise on skin-temperature (Tskin). RESULTS: A lower Tskin was seen following BFR exercise at the tendon insertion (P = 0.002), but not at the free tendon (P = 0.234), or the musculotendinous junction (P = 0.933). A significant effect of time upon changes in Tskin was observed in both BFR and non-BFR groups (P = 0.002). No interaction of time and BFR were observed on changes in Tskin (P = 0.726). CONCLUSION: Region specific changes in Tskin were found, with greater and longer reductions observed at the insertion of the Achilles following BFR exercise before returning to baseline. These findings could have implications for the programming of BFR exercise on tendon health. Future research should observe for differences between symptomatic and healthy tendons.

Longer Achilles tendon moment arm results in better running economy.

Based on the current literature, the link between Achilles tendon moment arm length and running economy is not well understood. Therefore, the aim of this study was to further investigate the connection between Achilles tendon moment arm and running economy and the influence of Achilles tendon moment arm on the function of the plantarflexor muscle-tendon unit during running.Ten male competitive marathon runners volunteered for this study. The participants ran on a treadmill at two running speeds: 3 and 3.5 m s-1. During running the oxygen consumption, lower leg kinematics, electrical activity of plantar flexor muscles, and fascicle behavior of the lateral gastrocnemius were measured simultaneously. On the second occasion, an MRI scan of the right leg was taken and used to estimate the Achilles tendon moment arm length.There was a negative correlation between running economy and the body height normalized moment arm length at both selected speeds (r = -0.68, P = 0.014 and r = -0.70, P = 0.01). In addition, Achilles tendon moment arm length correlated with the amplitude of the ankle flexion at both speeds (r = -0.59, P = 0.03 and r = -0.60, P = 0.03) and with the electrical activity of the medial gastrocnemius muscle at 3 m s-1 speed (r = -0.62, P = 0.02). Our finding supports the concept that a longer moment arm could be beneficial for distance runners.

Adding carbon fiber to shoe soles may not improve running economy: a muscle-level explanation.

In an attempt to improve their distance-running performance, many athletes race with carbon fiber plates embedded in their shoe soles. Accordingly, we sought to establish whether, and if so how, adding carbon fiber plates to shoes soles reduces athlete aerobic energy expenditure during running (improves running economy). We tested 15 athletes as they ran at 3.5 m/s in four footwear conditions that varied in shoe sole bending stiffness, modified by carbon fiber plates. For each condition, we quantified athlete aerobic energy expenditure and performed biomechanical analyses, which included the use of ultrasonography to examine soleus muscle dynamics in vivo. Overall, increased footwear bending stiffness lengthened ground contact time (p = 0.048), but did not affect ankle (p ≥ 0.060), knee (p ≥ 0.128), or hip (p ≥ 0.076) joint angles or moments. Additionally, increased footwear bending stiffness did not affect muscle activity (all seven measured leg muscles (p ≥ 0.146)), soleus active muscle volume (p = 0.538; d = 0.241), or aerobic power (p = 0.458; d = 0.04) during running. Hence, footwear bending stiffness does not appear to alter the volume of aerobic energy consuming muscle in the soleus, or any other leg muscle, during running. Therefore, adding carbon fiber plates to shoe soles slightly alters whole-body and calf muscle biomechanics but may not improve running economy.

The assessment of muscle mechanical properties in multi-joint movements reveals inverse correlation of leg muscle force and power with gait transition speed.

BACKGROUND: The impact that mechanical factors might have on gait reorganization was evaluated by the relationship between muscle mechanical capacity of isolated leg muscle groups and transition speed in previous studies. However, until now there are no studies that explored the relationship between muscle mechanical properties measured in cyclic multi-joint movements and gait transition speed. RESEARCH QUESTION: What is the nature of the relationship between gait transition speed and muscle mechanical capacities measured in cyclic multi-joint movements? METHODS: The sample included 18 physically active male adults, stratified by anthropometric dimensions. Individual walk-to-run (WRT) and run-to-walk transition speed (RWT) were determined using the standard incremental protocol. Mechanical capacities of leg muscles were assessed by linear force-velocity models obtained during treadmill locomotion and on bicycle-ergometer. RESULTS: The results revealed inverse correlation between WRT and RWT and maximal force assessed on treadmill (F0; r = -0.57 and r = -0.54, respectively), as well with F0 (r = -0.65 and r = -0.58, respectively) and maximal power (Pmax; -0.66 and -0.65, respectively) collected on bicycle-ergometer. SIGNIFICANCE: This study confirmed that mechanical muscle capacities are important physical limitation factors of transition speed, explaining over 36 % of the variance. The findings showed that a novel approach, with high biomechanical similarities with natural locomotion, revealed different results (negative correlations) in comparison to previous studies.

Estimation of Vertical Ground Reaction Force Using Low-Cost Insole With Force Plate-Free Learning From Single Leg Stance and Walking.

For the evaluation of pathological gait, a machine learning-based estimation of the vertical ground reaction force (vGRF) using a low-cost insole is proposed as an alternative to costly force plates. However, learning a model for estimation still relies on the use of force plates, which is not accessible in small clinics and individuals. Therefore, this paper presents a force plate-free learning from a single leg stance (SLS) and natural walking measured only by the insoles. This method used a linear least squares regression that fits insole measurements during SLS to body weight in order to learn a model to estimate vGRF during walking. Constraints were added to the regression so that vGRF estimates during walking were of proper magnitude, and the constraint bounds were newly defined as a linear function of stance duration. Moreover, a lower bound for the estimated vGRF in mid-stance was added to the constraints to enhance estimation accuracy. The vGRF estimated by the proposed method was compared with force platforms for 4 healthy young adults and 13 elderly adults including patients with mild osteoarthritis, knee pain, and valgus hallux. Through the experiments, the proposed learning method had a normalized root mean squared error under 10% for healthy young and elderly adults with stance durations within a certain range (600-800 ms). From these results, the validity of the proposed learning method was verified for various users requiring assessment in the field of medicine and healthcare.

Dynamic and Static Assessment of Single-Leg Postural Control in Female Soccer Players.

PURPOSE/BACKGROUND: Various methods are available for assessment of static and dynamic postural stability. The primary purpose of this study was to investigate the relationship between dynamic postural stability as measured by the Star Excursion Balance Test (SEBT) and static postural sway assessment as measured by the TechnoBody™ Pro-Kin in female soccer players. A secondary purpose was to determine side-to-side symmetry in this cohort. METHODS: A total of 18 female soccer players completed testing on the SEBT and Technobody™ Pro-Kin balance device. Outcome measures were anterior, posterior medial, and posterior lateral reaches from the SEBT and center of pressure in the x- and y-axes as well as SD of movement in the forward/backward and medial/lateral directions from the force plate on left and right legs. Bivariate correlations were determined between the 8 measures. In addition, paired Wilcoxon signed-rank tests were performed to determine similarity between limb scores. RESULTS: All measures on both the SEBT and postural sway assessment were significantly correlated when comparing dominant with nondominant lower-extremities with the exception of SD of movement in both x- and y-axes. When correlating results of the SEBT with postural sway assessment, a significant correlation was found between the SEBT right lower-extremity posterior lateral reach (r = .567, P < .05) and summed SEBT (r = .486, P < .05) and the center of pressure in the y-axis. A significant correlation was also found on the left lower-extremity, with SD of forward/backward movement and SEBT posterior medial reach (r = -.511, P < .05). CONCLUSIONS: Dynamic postural tests and static postural tests provide different information to the overall assessment of balance in female soccer players. Relationship between variables differed based on the subject's lower-extremity dominance.

High-density electromyographic assessment of stretch reflex activity during drop jumps from varying drop heights.

This study investigated how drop heights and their associated drop jump performance relate to stretch reflex modulations. Eleven male subjects performed ten drop jumps from each of three individually predetermined drop heights. These were the drop height resulting in maximal performance (OPT), as well as 10 cm below (LOW) and above (HIGH) maximal performance. To quantify drop jump performance the reactive strength index, derived from force plate measures, was used. High-density surface EMG provided both stretch reflex response timing and size, as well as novel insight into the associated motor unit recruitment via muscle fiber conduction velocity estimations. These measures were examined in the vastus lateralis (VL), soleus (SOL) and gastrocnemius medialis (GM). Drop jump performance improved by 9% (p < 0.001) from LOW to OPT and decreased by 5% (p = 0.008) from OPT to HIGH. Despite decreasing performance, stretch reflex responses were largest at HIGH. Stretch reflex responses timing did not change; staying within the short (SOL, <60 ms) and medium (VL, GM; 60-85 ms) latency response time-frames. Motor unit recruitment appeared to change across drop heights only for VL, whereas activation intensity only changed for SOL. These results indicate that during drop jumps above OPT neuromuscular modifications result in VL no longer being maximally recruited.

Use of Cine Loops and Structural Landmarks in Ultrasound Image Processing Improves Reliability and Reduces Error in the Assessment of Foot and Leg Muscles.

OBJECTIVES: Foot and leg muscle strength and size are crucial to proper function. It is important to assess these characteristics reliably. Our primary objective was to compare the measurement of still images to cine loops. The secondary purpose was to determine interoperator and intraoperator reliability between operators of different experience levels using video clips and internal and external landmarks. METHODS: Twelve healthy volunteers participated in our study. Internal (navicular tuberosity) and external (lateral leg length at 30% and 50% from the knee joint line) landmarks were used. Two operators each captured and later measured still and cine loop images of selected foot and leg muscles. RESULTS: The 12 participants included 8 male and 4 female volunteers (mean age ± SD, 23.5 ± 1.9 years). Good to excellent intraoperator and interoperator reliability was seen (intraclass correlation coefficient range of 0.946-0.998). The use of cine loops improved the intraclass correlation coefficients for both intraoperator and interoperator reliability (0.5%-4% increases). The use of cine loops decreased the intraoperator standard error of the measurement and limits of agreement of the novice operator (decreases of 45%-73% and 24%-51%, respectively), and these became comparable to those of experienced operators using still images. The interoperator standard errors of the measurement dropped by 42% to 53%, whereas the limits of agreement dropped by 27% to 40%. No substantial changes were noted in the tibialis anterior across reliability metrics. CONCLUSIONS: Improved protocols that take advantage of using internal bony landmarks and cine loops during both the image-gathering and measurement processes improve the reliability of research examining muscle size changes in the lower leg or foot associated with muscle changes due to exercise, injury, disuse, or disease.

Connecting the legs with a spring improves human running economy.

Human running is inefficient. For every 10 calories burned, less than 1 is needed to maintain a constant forward velocity - the remaining energy is, in a sense, wasted. The majority of this wasted energy is expended to support the bodyweight and redirect the center of mass during the stance phase of gait. An order of magnitude less energy is expended to brake and accelerate the swinging leg. Accordingly, most devices designed to increase running efficiency have targeted the costlier stance phase of gait. An alternative approach is seen in nature: spring-like tissues in some animals and humans are believed to assist leg swing. While it has been assumed that such a spring simply offloads the muscles that swing the legs, thus saving energy, this mechanism has not been experimentally investigated. Here, we show that a spring, or 'exotendon', connecting the legs of a human reduces the energy required for running by 6.4±2.8%, and does so through a complex mechanism that produces savings beyond those associated with leg swing. The exotendon applies assistive forces to the swinging legs, increasing the energy optimal stride frequency. Runners then adopt this frequency, taking faster and shorter strides, and reduce the joint mechanical work to redirect their center of mass. Our study shows how a simple spring improves running economy through a complex interaction between the changing dynamics of the body and the adaptive strategies of the runner, highlighting the importance of considering each when designing systems that couple human and machine.

The assessment of single-leg drop jump landing performance by means of ground reaction forces: A methodological study.

BACKGROUND: Time to stabilization (TTS) and dynamic postural stability index (DPSI) are outcome measures based on ground reaction force (GRF) that are often used to quantify dynamic postural stability performance following a drop jump landing. However, their interrelations, as well as the overlap with other dynamic measures and static single-leg postural sway, are unknown. RESEARCH QUESTION: What is the relation among TTS and DPSI, how are they related to impact forces and dynamic postural sway, and how are all these dynamic measures related to static postural sway? METHODS: A sample of 190 elite soccer players performed four single-leg drop jump landings. TTS in three directions (vertical, anteroposterior, and mediolateral), and DPSI were intercorrelated (Pearson's r), and related to impact forces and the magnitude of horizontal GRF (HGRF) from 0.4 to 2.4 s and 3.0-5.0 s following landing. All these measures were also correlated to HGRF in the static phase (i.e., 5.3-11.7 s). RESULTS: The TTS measures were significantly interrelated (r = 0.28-0.53), but were not significantly correlated to DPSI. TTS was more strongly related to HGRF0.4-2.4 s (r = 0.54-0.75) than to HGRF3.0-5.0 s (r = 0.32-0.54) or impact forces (r=-0.28-0.36). Vertical TTS was not significantly related to impact forces. The DPSI was most strongly related to the vertical peak force (r = 0.85), and was not significantly related to HGRF of the dynamic periods. Furthermore, TTS and dynamic HGRF were significantly related to static HGRF (r = 0.34-0.80), while DPSI and impact forces were not. SIGNIFICANCE: TTS and DPSI do not represent similar aspects of single-leg jump landing performance. The ability to stabilize posture seems to be represented by TTS and dynamic postural sway, which partly overlaps with static postural sway. In contrast, DPSI and vertical peak force mainly reflect the kinetic energy absorption during impact. The findings can help to better understand the meaning of the outcome measures, and to translate results to rehabilitation or prevention programs.

Assessment of core and lower limb muscles for static/dynamic balance in the older people: An ultrasonographic study.

BACKGROUND: sufficient research has not been conducted to determine the role of core and lower limb muscles in providing balance in older people. OBJECTIVE: to investigate the relationships between the thickness of core/lower limb muscles and static/dynamic balance in older people. METHODS: the study included a total of 68 older people (≥ 65 years) and 68 gender-matched young subjects, aged 20-40 years. Balance, knee proprioception sense, regional and total muscle measurements and grip strength were assessed using a force platform system, isokinetic dynamometer, ultrasound imaging, bioelectrical impedance analysis and Jamar dynamometer, respectively. RESULTS: all the static (postural sway) parameters were higher and all the dynamic (limits of stability) parameters were lower in the older adults compared to the young adults (all P<0.05). The diaphragm was thicker and all the other muscles (except for multifidus and tibialis anterior) were thinner in the older group (all P<0.05). A higher error of knee proprioception sense was determined at 45 and 70 degrees in the older subjects (both P<0.001). According to the multivariate analyses, significant predictors for balance were age, gender, height, and rectus femoris, vastus intermedius and diaphragm muscle thicknesses in the older group, and age, gender, height, grip strength, and rectus abdominis, internal oblique, longissimus, tibialis anterior and soleus muscle thicknesses in the young group (all P<0.05). CONCLUSIONS: the thickness of core/lower limb muscles are important determinants of balance in both older and young adults. These findings could provide a strong rationale for strengthening specific (abdominal and quadriceps) muscles to prevent falls and regional sarcopenia, and to improve posture/balance in the older population. CLINICAL TRIAL REGISTRATION NUMBER: NCT03791047. ETHICS COMMITTEE APPROVAL: Hacettepe University Non-interventional Clinical Research Ethics Board. Decision number:GO 18/506-39.

Muscle assessment using multi-frequency bioimpedance in a healthy Danish population aged 20-69 years: a powerful non-invasive tool in sports and in the clinic.

The condition of active muscles determines an individual's ability to carry out daily activities and has implications for an athlete's performance. Multi-frequency bioimpedance (mfBIA) is a non-invasive, well-known, validated, and much used method to assess muscle condition. However, it is rarely used to its full potential. Our aim was to apply mfBIA fully in the assessment of an adult healthy population, to compare muscle condition in different functional rested muscle groups, with age, and between men and women, and establish a control data set. Fifty healthy subjects (25 men/25 women) aged 20-69 years, participated. mfBIA measurements at a frequency range of 4-1000 kHz were taken from muscles of the lower and the upper extremities, the upper back, and the hand. Data were analyzed using ImpediMed software, giving Impedance, Resistance, Reactance, Phase Angle, Center Frequency, external and internal Resistance, and Membrane Capacitance. Differences between means were tested for statistical significance. A P value >0.05 was considered nonsignificant. While no difference in the mfBIA parameters was seen with age, a highly significant gender difference was seen. At rest, women's muscles cf men's showed a significantly higher center frequency and intra- and extra-cellular resistance, while the membrane capacitance was lower. A set of values for mfBIA parameters for healthy adult individuals are given for some of the main muscles which are frequently part of muscle assessment. The documented gender difference in muscle condition at rest has important implications in work situations, during physical rehabilitation and when training for competitive sports.

Hopping with degressive spring stiffness in a full-leg exoskeleton lowers metabolic cost compared with progressive spring stiffness and hopping without assistance.

When humans hop with a passive-elastic exoskeleton with springs in parallel with both legs, net metabolic power (Pmet) decreases compared with normal hopping (NH). Furthermore, humans retain near-constant total vertical stiffness (ktot) when hopping with such an exoskeleton. To determine how spring stiffness profile affects Pmet and biomechanics, 10 subjects hopped on both legs normally and with three full-leg exoskeletons that each used a different spring stiffness profile at 2.4, 2.6, 2.8, and 3.0 Hz. Each subject hopped with an exoskeleton that had a degressive spring stiffness (DGexo), where stiffness, the slope of force vs. displacement, is initially high but decreases with greater displacement, linear spring stiffness (LNexo), where stiffness is constant, or progressive spring stiffness (PGexo), where stiffness is initially low but increases with greater displacement. Compared with NH, use of the DGexo, LNexo, and PGexo numerically resulted in 13-24% lower, 4-12% lower, and 0-8% higher Pmet, respectively, at 2.4-3.0 Hz. Hopping with the DGexo reduced Pmet compared with NH at 2.4-2.6 Hz (P ≤ 0.0457) and reduced Pmet compared with the PGexo at 2.4-2.8 Hz (P < 0.001). ktot while hopping with each exoskeleton was not different compared with NH, suggesting that humans adjust leg stiffness to maintain overall stiffness regardless of the spring stiffness profile in an exoskeleton. Furthermore, the DGexo provided the greatest elastic energy return, followed by LNexo and PGexo (P ≤ 0.001). Future full-leg, passive-elastic exoskeleton designs for hopping, and presumably running, should use a DGexo rather than an LNexo or a PGexo to minimize metabolic demand.NEW & NOTEWORTHY When humans hop at 2.4-3.0 Hz normally and with an exoskeleton with different spring stiffness profiles in parallel to the legs, net metabolic power is lowest when hopping with an exoskeleton with degressive spring stiffness. Total vertical stiffness is constant when using an exoskeleton with linear or nonlinear spring stiffness compared with normal hopping. In-parallel spring stiffness influences net metabolic power and biomechanics and should be considered when designing passive-elastic exoskeletons for hopping and running.

Textile band electrodes as an alternative to spot Ag/AgCl electrodes for calf bioimpedance measurements.

OBJECTIVE: To evaluate the performance of five different types of textiles as band electrodes for calf bioimpedance measurements in comparison with conventional spot Ag/AgCl electrodes. APPROACH: Calf bioimpedance measurements were performed in 10 healthy volunteers with five different textile materials cut into bands and Ag/AgCl spot electrodes as a baseline. Collected bioimpedance data were analyzed in terms of precision, fit error and presence of measurement artifacts. Each textile material was also evaluated for participant comfort. MAIN RESULTS: Bioimpedance values for spot electrodes were higher at low frequencies as compared with band electrodes but not at high frequencies. This suggests that spot electrodes have frequency dependent current distributions that adversely impact their use for volume measurements and band electrodes are preferable. The SMP130T-B fabric had the highest precision and the lowest best fit error to the Cole model of the tested textile materials. However, it was the least comfortable textile and most expensive. The Stretch material performed slightly worse than the SMP130T-B fabric, but was half the cost and the most comfortable. SIGNIFICANCE: These results suggest that there are suitable textile materials for use as dry, band electrodes for calf bioimpedance measurements and that these band electrodes enable greater current uniformity. These textiles could be integrated into a compression sock for remote monitoring of diseases such as Congestive Heart Failure.