Effects of Five Common Preparatory Approaches on Grand Jeté Biomechanics.

Introduction: The grand jeté requires grace and proper biomechanics to produce the iconic glide through the air. Understanding how the preceding choreographed movements affect take-off and flight may influence teaching and training. We sought to examine the effects of 5 common preparatory approaches on grand jeté biomechanics. Methods: One male and 19 female dancers (19.3 ± 1.4 years; 1.61 ± 0.05 m; 58.1 ± 7.3 kg) with 12.5 ± 4.8 years of formal ballet experience performed grand jetés from run, chaine, chasse, assemble, and step-step approaches. Plié angle (deg), vGRF (BW), leap height (m), and leap distance (m) were measured with a motion analysis system and a force plate. One-way repeated measures ANOVAs were conducted to compare variables between approaches and Bonferroni tests were used for pairwise comparisons. Results: Plié depth, vGRF, leap height, and leap distance were all significantly different (P < .001). Plié angles (43.6-68.2 deg) were deepest for the assemble and shallowest for the run. vGRF (2.46-3.81 BW) were greatest for the assemble versus all but the run, and smallest for the chaine. Leap height (0.33-0.41 m) was highest for the run versus the chaine and step-step, but not versus assemble. Height was lowest for the chaine. Leap distance (0.24-1.03 m) was longest for the run and shortest for the assemble. Conclusions: The run approach optimizes the float through the air illusion (high leap height and distance) through applying high vGRF but moderate plié angles. The chasse approach is the next most optimal. The 2-legged assemble requires deeper plié angles to achieve height but produces shorter horizontal distances. Single leg plié training may enhance grand jeté performance and reduce injury risk from approaches such as the run, chaine, chasse, and step-step.Level of Evidence: Level 2.

Training Regimen of an Elite Ultramarathon Runner: A Case Study of What Led Up to the 24-Hour World-Record Run.

PURPOSE: Ultramarathon running has gained popularity over several decades. Although there has been considerable research on training for other running events, from the 100-m to the marathon at 26.2 miles (42.2 km), there is little evidence on best practices for ultramarathons, where distances potentially exceed 100 miles (160.9 km). METHODS: In this case study, we examine the training regimen of an elite ultramarathon runner who broke 8 world records in 2021 and 2022, including the 24-hour run in which he ran 319.6 km in September 2022. Training data from December 28, 2020, to September 17, 2022, were collected from the Strava application database (recorded on Coros watch) and analyzed using Microsoft Excel and Tableau. RESULTS: Our subject completed 5 training blocks, with volume per training block averaging 172.1 to 263 km/wk. Peak running volume per training block occurred on average 3.2 weeks out from races and reached a maximum of 378 km/wk. Recovery was emphasized the week following a race, with less running (19 km/wk) and more cross-training. Interval-type workouts (1- to 10-km repeats) were completed throughout training blocks. The average pace during the 24-hour world-record run was 4 minutes and 30 seconds per kilometer (4:30/km), closely matching the overall average training pace. CONCLUSIONS: These findings suggest that training for ultramarathon races should include high-volume running at varied paces and intensity with cross-training to avoid injuries. We hope that this evidence helps athletes understand how to prepare for these ultraendurance events.

The effects of equipment carriage on functional movement quality among law enforcement officers.

Law enforcement officers (LEOs) use protective equipment to ensure safety. However, equipment carriage has been shown to impair movement quality and may increase the risk of musculoskeletal injury. Therefore, the objective of this study was to investigate the influence of equipment load carriage on functional movement as measured by the Functional Movement Screen (FMS). It was hypothesised that FMS scores would be negatively impacted by equipment carriage. A counterbalanced cross-over study was utilised and a convenience sample of 31 males and one female active-duty LEOs were included. Participants completed the FMS under two conditions: with and without equipment. Significant median decreases in the equipment condition were observed for hurdle step, shoulder mobility, and rotary stability (p < .01), and deep squat and dominant limb active straight leg raise (ASLR) (p < .05). The non-dominant limb ASLR and trunk stability push-up were similar between conditions (p > .05). Load carriage appears to impair functional movement among LEOs.Practitioner summary: Equipment carriage interferes with functional movement and neither of the two load carriage systems tested were superior to the other. When choosing between duty belt verses duty belt and outer carrier vest carriage, LEO preference, body type, and acclimation to a given carriage type should be considered.

Concurrent validation of a pressure pain threshold scale for individuals with myofascial pain syndrome and fibromyalgia.

BACKGROUND: Manual pressure palpation is an examination technique used in the classification of myofascial pain syndrome (MPS) and fibromyalgia (FM). Currently, there are no validated systems for classifying results. A valid and reliable pressure pain threshold scale (PPTS) may provide a means for clinicians to grade, document, and report findings. The purpose of this investigation was to validate a PPTS in individuals diagnosed with MPS and FM. Intra-rater reliability, concurrent validity, minimum cut-off value, and patient responses were evaluated. METHODS: Eighty-four participants who met the inclusion criteria were placed into three groups of 28 (N = 84): MPS, FM, and asymptomatic controls. All participants underwent a two-part testing session using the American College of Rheumatology criteria for classifying FM. Part-1 consisted of manual palpation with a digital pressure sensor for pressure consistency and part 2 consisted of algometry. For each tender point (18 total), participants graded tenderness using the visual analog scale (VAS) while the examiner concurrently graded response using a five-point PPTS. RESULTS: The PPTS had good intra-rater reliability (ICC ≥ .88). A moderate to excellent relationship was found between the PPTS and VAS for all groups with the digital pressure sensor and algometer (ρ ≥ .61). A minimum cut-off value of 2 on the PPTS differentiated participants with MPS and FM from asymptomatic controls. DISCUSSION: The results provide preliminary evidence validating the PPTS for individuals with MPS and FM. Future research should further study the clinimetric properties of the PPTS with other chronic pain and orthopedic conditions. LEVELS OF EVIDENCE: 2c. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov registration No. NCT02802202.

Exploring fall training adaptations while walking.

BACKGROUND: Trips are common in and out of the workplace with most people recovering to avoid a subsequent fall. However, when the recovery attempt fails, a fall can be detrimental. OBJECTIVE: The purpose of this exploratory study was to examine adaptations to the elevating response during obstacle tripping while walking on a treadmill. Additionally, the possible transfer effects from adapted responses in the lab to the worksite are explored. METHODS: Fourteen healthy participants that covered the general working age range (20-70 yrs.) were presented with two different types of tripping obstacles while walking. RESULTS: Elevating the foot over the obstacle was expected due to all trips being induced during early swing phase (first 33% of the swing phase). However, in addition to the elevating strategy, a novel "push" strategy was observed in all but three participants. CONCLUSION: The current study provided support that obstacle type influences the behavioral response after a trip. Therefore, obstacles that catch the shoe should be considered when designing functional fall programs. Furthermore, information from the current study is useful for establishing guidelines when developing a fall prevention program in the workplace.

Changes in functional movement screen scores over a season in collegiate soccer and volleyball athletes.

Changes in many aspects of physical capacity and athletic performance have been documented through the course of a competitive season in collegiate athletes. Movement pattern quality as measured by the functional movement screen (FMS) has recently been linked to performance and injury risk. The purpose of this study was to document the changes in functional movement patterns over a competitive season. Fifty-seven National Collegiate Athletic Association Division II athletes were screened using the FMS as part of the pre and post participation examination for their competitive seasons in 2012. Composite and individual FMS test scores for the preseason and postseason were compared with identified significant changes. The scores were also analyzed for changes in the number of asymmetries present and the frequency of a score of 1 in any of the tests. There were no significant interactions in the main effects for time or sport in the composite FMS scores. However, 4 individual tests did show significant change. The deep squat (Z = -3.260, p = 0.001) and in-line lunge scores (Z = -3.498, p < 0.001) improved across all athletes, and the active straight leg raise (Z = -2.496, p = 0.013) and rotary stability scores (Z = -2.530, p = 0.011) worsened across all athletes. A reduction in the number of asymmetries (χ = 4.258, p = 0.039) and scores of 1 (χ = 26.148, p < 0.001) were also found. Changes in individual fundamental movement patterns occur through the course of a competitive season.