Testing protocols and measurement techniques when using pressure sensors for sport and health applications: A comparative review.

Plantar pressure measurement systems are routinely used in sports and health applications to assess locomotion. The purpose of this review is to describe and critically discuss: (a) applications of the pressure measurement systems in sport and healthcare, (b) testing protocols and considerations for clinical gait analysis, (c) clinical recommendations for interpreting plantar pressure data, (d) calibration procedures and their accuracy, and (e) the future of pressure sensor data analysis. Rigid pressure platforms are typically used to measure plantar pressures for the assessment of foot function during standing and walking, particularly when barefoot, and are the most accurate for measuring plantar pressures. For reliable data, two step protocol prior to contacting the pressure plate is recommended. In-shoe systems are most suitable for measuring plantar pressures in the field during daily living or dynamic sporting movements as they are often wireless and can measure multiple steps. They are the most suitable equipment to assess the effects of footwear and orthotics on plantar pressures. However, they typically have lower spatial resolution and sampling frequency than platform systems. Users of pressure measurement systems need to consider the suitability of the calibration procedures for their chosen application when selecting and using a pressure measurement system. For some applications, a bespoke calibration procedure is required to improve validity and reliability of the pressure measurement system. The testing machines that are commonly used for dynamic calibration of pressure measurement systems frequently have loading rates of less than even those found in walking, so the development of testing protocols that truly measure the loading rates found in many sporting movements are required. There is clear potential for AI techniques to assist in the analysis and interpretation of plantar pressure data to enable the more complete use of pressure system data in clinical diagnoses and monitoring.

Physiological mechanisms associated with the use of a passive heat intervention: positive implications for soccer substitutes.

PURPOSE: Soccer substitutes are exposed to periods of limited activity before entering match-play, likely negating benefits of active warm-ups. This study aimed to determine the effects of using a passive heat intervention following a pre-match, and half-time warm-up, on muscle and core temperature in soccer players during ambient (18 °C) and cold (2 °C) conditions. METHODS: On four occasions, 8 male players, completed a pre-match warm-up, followed by 45 min of rest. Following this, participants completed a half-time re-warm-up followed by an additional 45 min of rest, simulating a full match for an unplaying substitute. During periods of rest, participants wore either standardised tracksuit bottoms (CON), or heated trousers (HEAT), over typical soccer attire. RESULTS: Vastus lateralis temperature declined less in HEAT compared to CON following the 1st half in 2 °C (Δ - 4.39 ± 0.81 vs. - 6.21 ± 1.32 °C, P = 0.002) and 18 °C (Δ - 2.48 ± 0.71 vs. - 3.54 ± 0.88 °C, P = 0.003). These findings were also observed in the 2nd half for the 2 °C (Δ - 4.36 ± 1.03 vs. - 6.26 ± 1.04 °C, P = 0.002) and 18 °C (Δ - 2.85 ± 0.57 vs. - 4.06 ± 1 °C, P = 0.018) conditions. In addition, core temperature declined less in HEAT compared to CON following the 1st (Δ - 0.41 ± 0.25 vs. - 0.84 ± 0.41 °C, P = 0.037) and 2nd (Δ - 0.25 ± 0.33 vs. - 0.64 ± 0.34 °C, P = 0.028) halves of passive rest in 2 °C, with no differences in the 18 °C condition. Perceptual data confirmed that participants were more comfortable in HEAT vs. CON in 2 °C (P < 0.01). CONCLUSIONS: Following active warm-ups, heated trousers attenuate the decline in muscle temperature in ambient and cold environments.

Commercially available pressure sensors for sport and health applications: A comparative review.

Pressure measurement systems have numerous applications in healthcare and sport. The purpose of this review is to: (a) describe the brief history of the development of pressure sensors for clinical and sport applications, (b) discuss the design requirements for pressure measurement systems for different applications, (c) critique the suitability, reliability, and validity of commercial pressure measurement systems, and (d) suggest future directions for the development of pressure measurements systems in this area. Commercial pressure measurement systems generally use capacitive or resistive sensors, and typically capacitive sensors have been reported to be more valid and reliable than resistive sensors for prolonged use. It is important to acknowledge, however, that the selection of sensors is contingent upon the specific application requirements. Recent improvements in sensor and wireless technology and computational power have resulted in systems that have higher sensor density and sampling frequency with improved usability - thinner, lighter platforms, some of which are wireless, and reduced the obtrusiveness of in-shoe systems due to wireless data transmission and smaller data-logger and control units. Future developments of pressure sensors should focus on the design of systems that can measure or accurately predict shear stresses in conjunction with pressure, as it is thought the combination of both contributes to the development of pressure ulcers and diabetic plantar ulcers. The focus for the development of in-shoe pressure measurement systems is to minimise any potential interference to the patient or athlete, and to reduce power consumption of the wireless systems to improve the battery life, so these systems can be used to monitor daily activity. A potential solution to reduce the obtrusiveness of in-shoe systems include thin flexible pressure sensors which can be incorporated into socks. Although some experimental systems are available further work is needed to improve their validity and reliability.

Biomechanical measures of short-term maximal cycling on an ergometer: a test-retest study.

An understanding of test-retest reliability is important for biomechanists, such as when assessing the longitudinal effect of training or equipment interventions. Our aim was to quantify the test-retest reliability of biomechanical variables measured during short-term maximal cycling. Fourteen track sprint cyclists performed 3 × 4 s seated sprints at 135 rpm on an isokinetic ergometer, repeating the session 7.6 ± 2.5 days later. Joint moments were calculated via inverse dynamics, using pedal forces and limb kinematics. EMG activity was measured for 9 lower limb muscles. Reliability was explored by quantifying systematic and random differences within- and between-session. Within-session reliability was better than between-sessions reliability. The test-retest reliability level was typically moderate to excellent for the biomechanical variables that describe maximal cycling. However, some variables, such as peak knee flexion moment and maximum hip joint power, demonstrated lower reliability, indicating that care needs to be taken when using these variables to evaluate biomechanical changes. Although measurement error (instrumentation error, anatomical marker misplacement, soft tissue artefacts) can explain some of our reliability observations, we speculate that biological variability may also be a contributor to the lower repeatability observed in several variables including ineffective crank force, ankle kinematics and hamstring muscles' activation patterns.

Quantifying the hip-ankle synergy in short-term maximal cycling.

Simulation studies have demonstrated that the hip and ankle joints form a task-specific synergy during the downstroke in maximal cycling to enable the power produced by the hip extensor muscles to be transferred to the crank. The existence of the hip-ankle synergy has not been investigated experimentally. Therefore, we sought to apply a modified vector coding technique to quantify the strength of the hip-ankle moment synergy in the downstroke during short-term maximal cycling at a pedalling rate of 135 rpm. Twelve track sprint cyclists performed 3 × 4 s seated sprints at 135 rpm, interspersed with 2 × 4 s seated sprints at 60 rpm on an isokinetic ergometer. Data from the 60 rpm sprints were not analysed in this study. Joint moments were calculated via inverse dynamics, using pedal forces and limb kinematics. The hip-ankle moment synergy was quantified using a modified vector coding method. Results showed, for 28.8% of the downstroke the hip and ankle moments were in-phase, demonstrating the hip and ankle joints tend to work in synergy in the downstroke, providing some support findings from simulation studies of cycling. At a pedalling rate of 135 rpm the hip-phase was most frequent (42.5%) significantly differing from the in- (P = 0.044), anti- (P < 0.001), and ankle-phases (P = 0.004), demonstrating hip-dominant action. We believe this method shows promise to answer research questions on the relative strength of the hip-ankle synergy between different cycling conditions (e.g., power output and pedalling rates).

The impact of passive heat maintenance strategies between an active warm-up and performance: a systematic review and meta-analysis.

BACKGROUND: Prior to exercise, a warm-up routine has been suggested to be an imperative factor in task readiness with the anticipation that it will enhance performance. One of the key benefits of a warm-up is the increase in muscle and core temperature, which can be achieved in a variety of ways. An effective way to achieve improvements in core and muscle temperature is by performing an active warm-up. However, lengthy transition periods between an active warm-up and exercise performance are known to cause a decline in core and muscle temperature, thereby reducing performance capability. As such, methods are needed to assist athletes during transition periods, to maintain the benefits of a warm-up with the aim of optimising performance. Accordingly, the purpose of this review is to systematically analyse the evidence base that has investigated the use of passive heating to aide sporting performance when a transition period is experienced. METHODS: A systematic review and meta-analysis were undertaken following relevant studies being identified using PubMed, Web of Science, and EBSCO. Studies investigating the effects of passive heating strategies during the transition period between an active warm-up and exercise performance were included. The quality of the included studies were assessed by two independent reviewers using a modified version of the Physiotherapy Evidence Database scale. RESULTS: Seven studies, all high quality (mean = 7.6), reported sufficient data (quality score > 5) on the effects of passive heating strategies on exercise performance, these studies consisted of 85 well-trained athletes (78 male and 7 female). Passive heating strategies used between an active warm-up and exercise, significantly increased peak power output in all studies (ES = 0.54 [95% CI 0.17 to 0.91]). However, only a favourable trend was evident for exercise performance (ES = 1.07 [95% CI - 0.64 to 0.09]). CONCLUSIONS: Based upon a limited number of well-conducted, randomised, controlled trials, it appears that passive heating strategies used between an active warm-up and exercise have a positive impact on peak power output. Although, additional research is necessary to determine the optimum procedure for passive warm-up strategies.

Effects of strength training on the biomechanics and coordination of short-term maximal cycling.

The aim was to investigate the effects of a gym-based strength training intervention on biomechanics and intermuscular coordination patterns during short-term maximal cycling. Twelve track sprint cyclists performed 3 × 4 s seated sprints at 135 rpm, interspersed with 2 × 4 s seated sprints at 60 rpm on an isokinetic ergometer, repeating the session 11.6 ± 1.4 weeks later following a training programme that included two gym-based strength training sessions per week. Joint moments were calculated via inverse dynamics, using pedal forces and limb kinematics. EMG activity was measured for 9 lower limb muscles. Track cyclists 'leg strength" increased (7.6 ± 11.9 kg, P = 0.050 and ES = 0.26) following the strength training intervention. This was accompanied by a significant increase in crank power over a complete revolution for sprints at 135 rpm (26.5 ± 36.2 W, P = 0.028 and ES = 0.29). The increase in leg strength and average crank power was associated with a change in biceps femoris muscle activity, indicating that the riders successfully adapted their intermuscular coordination patterns to accommodate the changes in personal constraints to increase crank power.

Relationships between kinematic characteristics and ratio of forces during initial sprint acceleration.

In track sprinting, acceleration performance is largely determined by the ability to generate a high ratio of forces (RF), but the technical features associated with this remain unknown. This study therefore investigated the relationships between selected kinematic characteristics and RF during the initial acceleration phase. Fourteen male sprinters completed two maximal 60 m sprints from a block start. Full-body kinematic and external kinetic data were obtained from the first four steps, and the relationships between selected kinematic characteristics and mean RF over the first four steps were determined. Placing the stance foot further behind (or less far in front of) the whole-body centre of mass at touchdown was significantly related to greater RF (r = -0.672), and more anterior orientation of the proximal end of the foot (r = -0.724) and shank (r = -0.764) segments at touchdown were also significantly related to greater RF. Following touchdown, greater ankle dorsiflexion range of motion during early stance was significantly related to greater RF (r = 0.728). When aiming to enhance RF during initial acceleration, practitioners should be encouraged to focus on lower leg configurations when manipulating touchdown distance, and the role of dorsiflexion during early stance is also an important consideration.