Sources of Error When Measuring Achilles Tendon Mechanics During the Stance Phase of Running.

In recent years, the use of methods to investigate muscle-tendon unit function that combine motion capture with ultrasound (MoCapUS) has increased. Although several limitations and individual errors of these methods have been reported, the total error from all the potential sources together has not been estimated. The aim of this study was to establish the total error in the Achilles tendon (AT) measurements, specifically its length (ATL), strain (ATS), and moment arm (ATMA) acquired with MoCapUS during running. The total error from digitizing, marker movement, ultrasound calibration, and probe rotation errors caused mean ATL error of 4.2 ± 0.6 mm, mean ATMA error of 0.1 ± 0.1 mm, and could potentially alter measured ATS by a mean 2.9 ± 0.2%. Correcting both the calcaneus insertion position (CIP) and properly synchronizing ultrasound and motion capture data caused changes of up to 5.4 ± 1.7 mm in ATL and 11.6 ± 1.3 mm in ATMA. CIP correction and synchronization caused a similar amount of change in ATL, as well as ATS. However, the ATMA change was almost exclusively due to the CIP correction. Finally, if all sources of error were combined, the total ATL error could reach 13.1 mm, the total ATMA error could reach 14.4 mm, and ATS differences could reach up to ± 6.7%. The magnitude of such errors emphasizes the fact that MoCapUS-based AT measurements must be interpreted within the scope of their corresponding errors.

Contraction speed and type influences rapid utilisation of available muscle force: neural and contractile mechanisms.

This study investigated the influence of contraction speed and type on the human ability to rapidly increase torque and utilise the available maximum voluntary torque (MVT) as well as the neuromuscular mechanisms underpinning any effects. Fifteen young, healthy males completed explosive voluntary knee extensions in five conditions: isometric (ISO), and both concentric and eccentric at two constant accelerations of 500 deg s-2 (CONSLOW and ECCSLOW) and 2000 deg s-2 (CONFAST and ECCFAST). Explosive torque and quadriceps EMG were recorded every 25 ms up to 150 ms from their respective onsets and normalised to the available MVT and EMG at MVT, respectively, specific to that joint angle and velocity. Neural efficacy (explosive voluntary:evoked octet torque) was also measured, and torque data were entered into a Hill-type muscle model to estimate muscle performance. Explosive torques normalised to MVT (and normalised muscle forces) were greatest in the concentric followed by the isometric and eccentric conditions, and in the fast compared with slow speeds within the same contraction type (CONFAST>CONSLOW>ISO, and ECCFAST>ECCSLOW). Normalised explosive-phase EMG and neural efficacy were greatest in concentric conditions, followed by isometric and eccentric conditions, but were similar for fast and slow contractions of the same type. Thus, distinct neuromuscular activation appeared to explain the effect of contraction type but not speed on normalised explosive torque, suggesting the speed effect is an intrinsic contractile property. These results provide novel evidence that the ability to rapidly increase torque/force and utilise the available MVT is influenced by both contraction type and speed, owing to neural and contractile mechanisms, respectively.

The functional significance of hamstrings composition: is it really a "fast" muscle group?

Hamstrings muscle fiber composition may be predominantly fast-twitch and could explain the high incidence of hamstrings strain injuries. However, hamstrings muscle composition in vivo, and its influence on knee flexor muscle function, remains unknown. We investigated biceps femoris long head (BFlh) myosin heavy chain (MHC) composition from biopsy samples, and the association of hamstrings composition and hamstrings muscle volume (using MRI) with knee flexor maximal and explosive strength. Thirty-one young men performed maximal (concentric, eccentric, isometric) and explosive (isometric) contractions. BFlh exhibited a balanced MHC distribution [mean ± SD (min-max); 47.1 ± 9.1% (32.6-71.0%) MHC-I, 35.5 ± 8.5% (21.5-60.0%) MHC-IIA, 17.4 ± 9.1% (0.0-30.9%) MHC-IIX]. Muscle volume was correlated with knee flexor maximal strength at all velocities and contraction modes (r = 0.62-0.76, P < 0.01), but only associated with late phase explosive strength (time to 90 Nm; r = -0.53, P < 0.05). In contrast, BFlh muscle composition was not related to any maximal or explosive strength measure. BFlh MHC composition was not found to be "fast", and therefore composition does not appear to explain the high incidence of hamstrings strain injury. Hamstrings muscle volume explained 38-58% of the inter-individual differences in knee flexor maximum strength at a range of velocities and contraction modes, while BFlh muscle composition was not associated with maximal or explosive strength.

Strength and size relationships of the quadriceps and hamstrings with special reference to reciprocal muscle balance.

PURPOSE: This study examined the association of muscle size and strength for the quadriceps and hamstrings, the relationship between the size of these muscles, and whether the H:Q size ratio influenced reciprocal strength balance-widely regarded as a risk factor for hamstrings injury. METHODS: Knee extensor and flexor isometric, concentric and eccentric (50 and 350° s(-1)) strength were measured in 31 healthy, recreationally active young men. Muscle volume was measured with magnetic resonance imaging. RESULTS: The knee flexors achieved higher concentric and eccentric torques (normalised to isometric values) than the extensors. Muscle volume explained a significant part of the inter-individual differences in strength in both extensors (isometric 71%, concentric 30-31%) and flexors (isometric 38%, concentric 50-55%). Notably, muscle size was related to knee flexor eccentric strength (r = 0.69-0.76; R (2) = 48-58%) but not extensor eccentric strength. Quadriceps and hamstrings volumes were moderately correlated (r = 0.64), with the majority of the variance in the size of one muscle (59%) not explained by the size of the other muscle. The hamstrings-to-quadriceps (H:Q) volume ratio was correlated with the isometric (r = 0.45) and functional strength ratios (350° s(-1), r = 0.56; 50° s(-1), r = 0.34). CONCLUSIONS: Muscle size exhibited a differential influence on knee extensor and flexor eccentric strength. Quadriceps and hamstrings muscle size was related, and the H:Q size ratio contributed to their strength ratios. Muscle size imbalances contribute to functional imbalances and these findings support the use of hamstrings strength training with an emphasis on hypertrophic adaptations for reducing injury risk.

Central fatigue contributes to the greater reductions in explosive than maximal strength with high-intensity fatigue.

The study aimed to assess the influence of fatigue induced by repeated high-force explosive contractions on explosive and maximal isometric strength of the human knee extensors and to examine the neural and contractile mechanisms for the expected decrement. Eleven healthy untrained males completed 10 sets of voluntary maximal explosive contractions (five times 3 s, interspersed with 2 s rest). Sets were separated by 5 s, during which supramaximal twitch and octet contractions [eight pulses at 300 Hz that elicit the contractile peak rate of force development (pRFD)] were evoked. Explosive force, at specific time points, and pRFD were assessed for voluntary and evoked efforts, expressed in absolute terms and normalized to maximal/peak force. Maximal voluntary contraction force (MVCF) and peak evoked forces were also determined. Surface EMG amplitude was measured from three superficial agonists and normalized to maximal compound action potential area. By set 10, explosive force (47-52%, P < 0.001) and MVCF (42%, P < 0.001) had declined markedly. Explosive force declined more rapidly than MVCF, with lower normalized explosive force at 50 ms (29%, P = 0.038) that resulted in reduced normalized explosive force from 0 to 150 ms (11-29%, P ≤ 0.038). Neural efficacy declined by 34%, whilst there was a 15-28% reduction in quadriceps EMG amplitude during voluntary efforts (all P ≤ 0.03). There was demonstrable contractile fatigue (pRFD: octet, 27%; twitch, 66%; both P < 0.001). Fatigue reduced normalized pRFD for the twitch (21%, P = 0.001) but not the octet (P = 0.803). Fatigue exerted a more rapid and pronounced effect on explosive force than on MVCF, particularly during the initial 50 ms of contraction, which may explain the greater incidence of injuries associated with fatigue. Both neural and contractile fatigue mechanisms appeared to contribute to impaired explosive voluntary performance.

Considerations for single and double leg drop jumps: bilateral deficit, standardizing drop height, and equalizing training load.

Bilateral deficit is well documented; however, bilateral deficit is not present in all tasks and is more likely in dynamic activities than isometric activities. No definitive mechanism(s) for bilateral deficit is known but an oft cited mechanism is lower activation of fast twitch motor units. The aim of this study was to produce comparable and consistent one and two legged drop jumps to examine bilateral deficit in elite power athletes and elite endurance athletes. Seven power athletes and seven endurance athletes performed single and double leg drop jumps from a range of heights that equalized loading per leg in terms of: height dropped, energy absorbed, and momentum absorbed. Force and motion data were collected at 800 Hz. Bilateral deficit for jump height, peak concentric force, and peak concentric power were calculated. Power athletes had a significantly greater (P < .05) bilateral deficit for jump height and peak power, possibly due to power athletes having more fast twitch motor units, however, endurance athletes generally had a bilateral surfeit which could confound this inference. Results indicate that equalizing loading by impulse per leg is the most appropriate and that a consistent drop height can be obtained with a short 10 minute coaching session.

Using a simple model to systematically examine the influence of force-velocity profile and power on vertical jump performance with different constraints.

Power, and recently force-velocity (F-V) profiling, are well-researched and oft cited critical components for sports performance but both are still debated; some would say misused. A neat, applied formulation of power and linear F-V in the literature is practically useful but there is a dearth of fundamental explanations of how power and F-V interact with human and environmental constraints. To systematically explore the interactions of a linear F-V profile, peak power, gravity, mass, range of motion (ROM), and initial activation conditions, a forward dynamics point mass model of vertical jumping was parameterised from an athlete. With no constraints and for a given peak power, F-V favouring higher velocity performed better, but were impacted more under real-world conditions of gravity and finite ROM meaning the better F-V was dependent on constraints. Increasing peak power invariably increased jump height but improvement was dependent on the initial F-V and if it was altered by changing maximal force or velocity. When mass was changed along with power and F-V there was a non-linear interaction and jump improvement could be almost as large for a F-V change as an increase in power. An ideal F-V profile cannot be identified without knowledge of mass and ROM.

Hamstrings Hypertrophy Is Specific to the Training Exercise: Nordic Hamstring versus Lengthened State Eccentric Training.

INTRODUCTION: The hamstring muscles play a crucial role in sprint running but are also highly susceptible to strain injuries, particularly within the biceps femoris long head (BFlh). This study compared the adaptations in muscle size and strength of the knee flexors, as well as BFlh muscle and aponeurosis size, after two eccentrically focused knee flexion training regimes: Nordic hamstring training (NHT) vs lengthened state eccentric training (LSET, isoinertial weight stack resistance in an accentuated hip-flexed position) vs habitual activity (no training controls: CON). METHODS: Forty-two healthy young males completed 34 sessions of NHT or LSET over 12 wk or served as CON ( n = 14/group). Magnetic resonance imaging-measured muscle volume of seven individual knee flexors and BFlh aponeurosis area, and maximum knee flexion torque during eccentric, concentric, and isometric contractions were assessed pre- and post-training. RESULTS: LSET induced greater increases in hamstrings (+18% vs +11%) and BFlh (+19% vs +5%) muscle volumes and BFlh aponeurosis area (+9% vs +3%) than NHT (all P ≤ 0.001), with no changes after CON. There were distinctly different patterns of hypertrophy between the two training regimes, largely due to the functional role of the muscles; LSET was more effective for increasing the size of knee flexors that also extend the hip (2.2-fold vs NHT), whereas NHT increased the size of knee flexors that do not extend the hip (1.9-fold vs LSET; both P ≤ 0.001). Changes in maximum eccentric torque differed only between LSET and CON (+17% vs +4%; P = 0.009), with NHT (+11%) inbetween. CONCLUSIONS: These results suggest that LSET is superior to NHT in inducing overall hamstrings and BFlh hypertrophy, potentially contributing to better sprint performance improvements and protection against hamstring strain injuries than NHT.

The Effectiveness of Home-Based Exergames Training on Cognition and Balance in Older Adults: A Comparative Quasi-Randomized Study of Two Exergame Interventions.

Background and Objectives: The effectiveness of exergames on fall risk and related physical and cognitive function in older adults is still unclear, with conflicting findings. The discrepancy in these results could be due to the different components and task-specific demands of individual exergame interventions. This open-label quasi-randomized study aimed to compare the efficacy of 2 different home-based dual-task exergame treatments on cognition, mobility, and balance in older people. Research Design and Methods: Fifty older adults (65-85 years of age) were allocated to one of two 8-week exergame interventions: Cognitive-Intensive Exergame Training (CIT) or Physical-Intensive Exergame Training (PIT). Cognitive functions, balance, and mobility were assessed at baseline and after 8 weeks. Group × time interaction was measured by repeated-measure ANOVA, and both intention-to-treat (ITT) and per-protocol (PP) analyses were performed to assess the effectiveness of exergame interventions. Results: ITT analyses showed that improvement in visual processing speed and visuospatial working memory was greater in the CIT group, with a medium effect size (p = .04; η2 = 0.09 and p = .01; η2 = 0.12). The improvement in verbal memory and attention was significant within both groups (p < .05), but this improvement was not different between the groups (p > .05). A significant improvement in balance was also observed in the PIT group, with a medium effect size (p = .04; η2 = 0.09). Although mobility improved significantly in both groups (p < .01), there was no significant difference between groups (p = .08). These results were largely supported by the PP analysis. Discussion and Implications: Dual-task exergame training can improve mobility and cognition in older adults. However, the different cognitive and physical demands of these interventions may have varying impacts on fall risk and related physical or cognitive functions. Therefore, a training program that includes both cognitive and physical domains with appropriate intensity is essential for the development of tailored exergame interventions to reduce fall risk in older adults.

The effect of body position and mass centre velocity at toe off on the start performance of elite swimmers and how this differs between gender.

The start in swimming is a crucial phase of a race, where improvements in performance can be made. Twenty-four elite swimmers race pace starts were recorded from five above and below water 50 Hz video cameras. Body position at toe off was calculated from the recordings and consisted of the two-dimensional mass centre position at toe off, and the arm, trunk, front leg and rear leg angles.Horizontal, vertical and resultant velocity of the mass centre at toe off, time to 5 m, 10 m and 15 m were also determined. Whilst time to 5 m (starting performance) differed by 0.17 s between genders, body position at toe off showed no significant differences. The difference in start performance was mainly due to a difference in horizontal velocity at toe off. The relationship between arm angle and start performance warrants further investigation as there was a range of techniques adopted but no clear link to performance. The trunk angle at toe off was correlated to starting performance for both males and females. This study demonstrates that the body position at toe off is no different between genders but is a critical determinant of starting performance for both males and females.

Contraction type influences the human ability to use the available torque capacity of skeletal muscle during explosive efforts.

The influence of contraction type on the human ability to use the torque capacity of skeletal muscle during explosive efforts has not been documented. Fourteen male participants completed explosive voluntary contractions of the knee extensors in four separate conditions: concentric (CON) and eccentric (ECC); and isometric at two knee angles (101°, ISO101 and 155°, ISO155). In each condition, torque was measured at 25 ms intervals up to 150 ms from torque onset, and then normalized to the maximum voluntary torque (MVT) specific to that joint angle and angular velocity. Explosive voluntary torque after 50 ms in each condition was also expressed as a percentage of torque generated after 50 ms during a supramaximal 300 Hz electrically evoked octet in the same condition. Explosive voluntary torque normalized to MVT was more than 60 per cent larger in CON than any other condition after the initial 25 ms. The percentage of evoked torque expressed after 50 ms of the explosive voluntary contractions was also greatest in CON (ANOVA; p < 0.001), suggesting higher concentric volitional activation. This was confirmed by greater agonist electromyography normalized to M(max) (recorded during the explosive voluntary contractions) in CON. These results provide novel evidence that the ability to use the muscle's torque capacity explosively is influenced by contraction type, with concentric contractions being more conducive to explosive performance due to a more effective neural strategy.

Short-term training for explosive strength causes neural and mechanical adaptations.

This study investigated the neural and peripheral adaptations to short-term training for explosive force production. Ten men trained the knee extensors with unilateral explosive isometric contractions (1 s 'fast and hard') for 4 weeks. Before and after training, force was recorded at 50-ms intervals from force onset (F(50), F(100) and F(150)) during both voluntary and involuntary (supramaximal evoked octet; eight pulses at 300 Hz) explosive isometric contractions. Neural drive during the explosive voluntary contractions was measured with the ratio of voluntary/octet force, and average EMG normalized to the peak-to-peak M-wave of the three superficial quadriceps. Maximal voluntary force (MVF) was also measured, and ultrasonic images of the vastus lateralis were recorded during ramped contractions to assess muscle-tendon unit stiffness between 50 and 90% MVF. There was an increase in voluntary F(50) (+54%), F(100) (+15%) and F(150) (+14%) and in octet F(50) (+7%) and F(100) (+10%). Voluntary F(100) and F(150), and octet F(50) and F(100) increased proportionally with MVF (+11%). However, the increase in voluntary F(50) was +37% even after normalization to MVF, and coincided with a 42% increase in both voluntary/octet force and agonist-normalized EMG over the first 50 ms. Muscle-tendon unit stiffness between 50 and 90% MVF also increased. In conclusion, enhanced agonist neural drive and MVF accounted for improved explosive voluntary force production in the early and late phases of the contraction, respectively. The increases in explosive octet force and muscle-tendon unit stiffness provide novel evidence of peripheral adaptations within merely 4 weeks of training for explosive force production.

The association between sport-related concussion and musculoskeletal injury in university rugby athletes.

OBJECTIVES: The study aimed to analyse the association between Sports-Related Concussion (SRC) and Subsequent Musculoskeletal Injury (MSK) in United Kingdom university-aged rugby union players whilst considering the effects of sex, athlete playing position and injury location. DESIGN: Retrospective cohort study. A period of 365 days with 0-90, 91-180 and 181-365 days sub-periods was analysed for the following variables; MSK injury incidence, occurrence, severity, injury location, playing position and sex. SETTING: Injury data was collected from the Sports Development Centre database at Loughborough University. PARTICIPANTS: A total of 408 injuries in 181 athletes (55 females and 126 males) were included. RESULTS: The MSK injury incidence of SRC group was significantly higher than control and higher post-SRC than pre-SRC period over a 365-day period (p=0.012 and p=0.034, respectively). The odds ratios of MSK injury incidence between groups and between periods were 1.62 (95% CI, 1.10-2.25) and 1.57 (95% CI ,1.08-2.29). A SRC was not associated with a greater time loss from a subsequent MSK injury or a specific MSK injury location. CONCLUSIONS: Athletes with a second recorded injury were more likely to sustain a MSK injury if they had experienced SRC, however, there was no indication a SRC resulted in greater time loss from a MSK injury.

The hamstrings to quadriceps functional ratio expressed over the full angle-angular velocity range using a limited number of data points.

The hamstring to quadriceps (H : Q) strength ratio is widely used to identify individuals at risk of sustaining hamstring strain injuries. However, its efficacy is not supported by the current evidence. Current methods for the calculation of the H : Q ratio provide only a one- or two-dimensional ratio, often ignoring fundamental muscle mechanical properties. Based on isokinetic torque measurements of the knee flexors and extensors (0-400° s-1) in 25 young, physically active males, we derived a model equation that creates a three-dimensional H : Q functional ratio profile. The model robustness was tested against a different number of input torque data (8, 11, 14 and 17 pairs of points) and small perturbation of the knee joint angle data (5°). The model was consistent and behaved well under all conditions apart from the eight pairs of points (R 2 = 0.84-0.96; RMSE = 0.14-0.25; NRMSE = 0.12-0.27), and the H : Q functional ratio was successfully described even at angles and velocities that cannot be normally assessed with isokinetic dynamometry. Overall, our results suggest that the model can provide a fast and accurate three-dimensional description of the knee joint muscle strength balance using as few as 11 experimental data points and this could be an easy-to-employ screening tool.

Short-term unilateral resistance training affects the agonist-antagonist but not the force-agonist activation relationship.

In this study we investigated the contribution of neural adaptations to strength changes after 4 weeks of unilateral isometric resistance training. Maximal and submaximal isometric knee extension contractions were assessed before and after training. Surface electromyography (EMG) data were collected from the agonist and antagonist muscles and normalized to evoked maximal M-wave and maximal knee flexor EMG, respectively. The interpolated twitch technique (ITT) was also used to determine activation at maximum voluntary force (MVF). MVF increased in the trained (+20%) and untrained (+8%) legs. Agonist EMG at MVF increased in the trained leg (+26%), although activation determined via the ITT was unchanged. In both legs the position of the force-agonist EMG relationship was unchanged, but antagonist coactivation was lower for all levels of agonist activation. Strength gains in the trained leg were due to enhanced agonist activation, whereas decreased coactivation may have affected strength changes in both legs.

Measurement of instantaneous Achilles tendon moment arm and force during the stance phase of running.

Accurate estimates of the Achilles tendon (AT) moment arm (ATMA) are necessary for investigating triceps surae muscle-tendon unit loading and function. There are limited reported values of ATMA during running. By combining ultrasound and motion capture, ATMA was estimated during the stance phase of running. Group mean ATMA was estimated at 49.2 ± 3.8 mm and 37.5 ± 5.3 mm, relative to the centre of rotation (malleoli markers midpoint) and the ankle finite helical axis respectively. Differences in the corresponding estimated AT forces reached up to 3100 N approximately. Such discrepancies can lead to misinterpretation of the whole muscle-tendon unit function.

Modifying landing mat material properties may decrease peak contact forces but increase forefoot forces in gymnastics landings.

This study investigated how changes in the material properties of a landing mat could minimise ground reaction forces (GRF) and internal loading on a gymnast during landing. A multi-layer model of a gymnastics competition landing mat and a subject-specific seven-link wobbling mass model of a gymnast were developed to address this aim. Landing mat properties (stiffness and damping) were optimised using a Simplex algorithm to minimise GRF and internal loading. The optimisation of the landing mat parameters was characterised by minimal changes to the mat's stiffness (<0.5%) but increased damping (272%) compared to the competition landing mat. Changes to the landing mat resulted in reduced peak vertical and horizontal GRF and reduced bone bending moments in the shank and thigh compared to a matching simulation. Peak bone bending moments within the thigh and shank were reduced by 6% from 321.5 Nm to 302.5Nm and GRF by 12% from 8626 N to 7552 N when compared to a matching simulation. The reduction in these forces may help to reduce the risk of bone fracture injury associated with a single landing and reduce the risk of a chronic injury such as a stress fracture.

Changes in inertial parameters of the lower limb during the impact phase of dynamic tasks.

Mechanical analysis at the whole human body level typically assumes limbs are rigid bodies with fixed inertial parameters, however, as the human body consists mainly of deformable soft tissue, this is not the case. The aim of this study was to investigate changes in the inertial parameters of the lower limb during landing and stamping tasks using high frequency three-dimensional motion analysis. Seven males performed active and passive drop landings from 30 and 45 cm and a stamp onto a force plate. A sixteen-camera 750 Hz Vicon system recorded markers for standard rigid body analysis using inverse kinematics in Visual 3D and 7 × 8 and 7 × 9 marker arrays on the shank and thigh. Frame by frame segment volumes from marker arrays were calculated as a collection of tetrahedra using the Delaunay triangulation method in 3D and further inertial parameters were calculated using the method of Tonon (2004). Distance between the centres of mass (COM) of the rigid and soft tissues changed during impact in a structured manner indicative of a damped oscillation. Group mean amplitudes for COM motion of the soft tissues relative to the rigid body of up to 1.4 cm, and changes of up to 17% in moment of inertia of the soft tissue about the rigid body COM were found. This study has shown that meaningful changes in inertial parameters can be observed and quantified during even moderate impacts. Further examination of the effects these could have on movement dynamics and energetics seems pertinent.

Aerobic power and peak power of elite America's Cup sailors.

Big-boat yacht racing is one of the only able bodied sporting activities where standing arm-cranking ('grinding') is the primary physical activity. However, the physiological capabilities of elite sailors for standing arm-cranking have been largely unreported. The purpose of the study was to assess aerobic parameters, VO(2peak) and onset of blood lactate (OBLA), and anaerobic performance, torque-crank velocity and power-crank velocity relationships and therefore peak power (P (max)) and optimum crank-velocity (omega(opt)), of America's Cup sailors during standing arm-cranking. Thirty-three elite professional sailors performed a step test to exhaustion, and a subset of ten grinders performed maximal 7 s isokinetic sprints at different crank velocities, using a standing arm-crank ergometer. VO(2peak) was 4.7 +/- 0.5 L/min (range 3.6-5.5 L/min) at a power output of 332 +/- 44 W (range 235-425 W). OBLA occurred at a power output of 202 +/- 31 W (61% of W(max)) and VO(2) of 3.3 +/- 0.4 L/min (71% of VO(2peak)). The torque-crank velocity relationship was linear for all participants (r = 0.9 +/- 0.1). P (max) was 1,420 +/- 37 W (range 1,192-1,617 W), and omega(opt) was 125 +/- 6 rpm. These data are among the highest upper-body anaerobic and aerobic power values reported. The unique nature of these athletes, with their high fat-free mass and specific selection and training for standing arm cranking, likely accounts for the high values. The influence of crank velocity on peak power implies that power production during on-board 'grinding' may be optimised through the use of appropriate gear-ratios and the development of efficient gear change mechanisms.

Effect of occlusal conditions on neuromuscular function for a healthy population.

This study was designed to measure and describe the dynamic function of the muscles of mastication in healthy, dentate adults. Specifically, the study was designed to determine if there are common patterns of masticatory muscle function and whether a given occlusal loading model generates more muscle activity than another.