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.

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.

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.

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.

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.

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.

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.

The influence of model parameters on model validation.

The study examined the sensitivity of two musculoskeletal models to the parameters describing each model. Two different models were examined: a phenomenological model of human jumping with parameters based on live subject data, and the second a model of the First Dorsal Interosseous with parameters based on cadaveric measurements. Both models were sensitive to the model parameters, with the use of mean group data not producing model outputs reflective of either the performance of any group member or the mean group performance. These results highlight the value of subject specific model parameters, and the problems associated with model validation.

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.

Training induced changes in quadriceps activation during maximal eccentric contractions.

Despite full voluntary effort, neuromuscular activation of the quadriceps group of muscles appears inhibited during eccentric contractions. A nerve stimulation protocol during dynamic contractions of the quadriceps was developed that employed triplets of supramaximal pulses to assess suppressed eccentric activation. Subsequently the effects of a short training intervention, performed on a dynamometer, on eccentric strength output and neural inhibition were examined. Torque-angular velocity (T-ω) and experimental voluntary neural drive-angular velocity (%VA-ω; %VA, obtained via the interpolated twitch technique) datasets, were obtained from pre- and post-training testing sessions. Non-linear regression fits of a seven parameter torque function and of a 3rd degree polynomial were performed on the pre- and post-training T-ω and %VA-ω datasets respectively. T-test showed a significant (p < 0.05) increase in the overall torque output post-training for the group, with three out of the six subjects demonstrating a significant (p < 0.05) increase in the torque output across the range of angular velocities as shown by the extra-sum-of-squares F-test. A significant increase (p < 0.05) in the %VA post-training was also observed as well as a reduction in the plateauing of the torque output during fast eccentric contractions.

Muscle tension increases impact force but decreases energy absorption and pain during visco-elastic impacts to human thighs.

Despite uncertainty of its exact role, muscle tension has shown an ability to alter human biomechanical response and may have the ability to reduce impact injury severity. The aim of this study was to examine the effects of muscle tension on human impact response in terms of force and energy absorbed and the subjects' perceptions of pain. Seven male martial artists had a 3.9 kg medicine ball dropped vertically from seven different heights, 1.0-1.6 m in equal increments, onto their right thigh. Subjects were instructed to either relax or tense the quadriceps via knee extension (≥60% MVC) prior to each impact. F-scan pressure insoles sampling at 500 Hz recorded impact force and video was recorded at 1000 Hz to determine energy loss from the medicine ball during impact. Across all impacts force was 11% higher, energy absorption was 15% lower and time to peak force was 11% lower whilst perceived impact intensity was significantly lower when tensed. Whether muscle is tensed or not had a significant and meaningful effect on perceived discomfort. However, it did not relate to impact force between conditions and so tensing may alter localised injury risk during human on human type impacts.

Balance control strategies during perturbed and unperturbed balance in standing and handstand.

Insights into sensorimotor control of balance were examined by the assessment of perturbed and unperturbed balance in standing and handstand postures. During perturbed and unperturbed balance in standing, the most prevalent control strategy was an ankle strategy, which was employed for more than 90% of the time in balance. During perturbed and unperturbed balance in handstand, the most prevalent control strategy was a wrist strategy, which was employed for more than 75% of the time in balance. In both postures, these strategies may be described as a single segment inverted pendulum control strategy, where the multi-segment system is controlled by torque about the most inferior joint with compensatory torques about all superior joints acting in the same direction to maintain a fixed orientation between superior segments. In contrast to previous literature, surprisingly little time was spent in a mixed strategy, representing less than 1% of time in standing balance and approximately 2% of time in handstand balance. Findings indicate that although the central nervous system may employ a number of control strategies during a trial, these strategies are employed individually rather than simultaneously.

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.

Evaluating feedback time delay during perturbed and unperturbed balance in handstand.

Feedback delays in balance are often assessed using muscle activity onset latencies in response to discrete perturbations. The purpose of the study was to calculate EMG latencies in perturbed handstand, and determine if delays are different to unperturbed handstand. Twelve national level gymnasts completed 12 perturbed and 10 unperturbed (five eyes open and five closed) handstands. Forearm EMG latencies during perturbed handstands were assessed against delay estimates calculated via: cross correlations of wrist torque and COM displacement, a proportional and derivative model of wrist torque and COM displacement and velocity (PD model), and a PD model incorporating a passive stiffness component (PS-PD model). Delays from the PD model (161±14ms) and PS-PD model (188±14ms) were in agreement with EMG latencies (165±14ms). Cross correlations of COM displacement and wrist torque provided unrealistically low estimates (5±9ms). Delays were significantly lower during perturbed (188±14ms) compared to unperturbed handstand (eyes open: 207±12ms; eyes closed: 220±19ms). Significant differences in delays and model parameters between perturbed and unperturbed handstand support the view that balance measures in perturbed testing should not be generalised to unperturbed balance.

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.

Maximum Velocities in Flexion and Extension Actions for Sport.

Speed of movement is fundamental to the outcome of many human actions. A variety of techniques can be implemented in order to maximise movement speed depending on the goal of the movement, constraints, and the time available. Knowing maximum movement velocities is therefore useful for developing movement strategies but also as input into muscle models. The aim of this study was to determine maximum flexion and extension velocities about the major joints in upper and lower limbs. Seven university to international level male competitors performed flexion/extension at each of the major joints in the upper and lower limbs under three conditions: isolated; isolated with a countermovement; involvement of proximal segments. 500 Hz planar high speed video was used to calculate velocities. The highest angular velocities in the upper and lower limb were 50.0 rad·s-1 and 28.4 rad·s-1, at the wrist and knee, respectively. As was true for most joints, these were achieved with the involvement of proximal segments, however, ANOVA analysis showed few significant differences (p<0.05) between conditions. Different segment masses, structures and locations produced differing results, in the upper and lower limbs, highlighting the requirement of segment specific strategies for maximal movements.

Biceps Femoris Aponeurosis Size: A Potential Risk Factor for Strain Injury?

PURPOSE: A disproportionately small biceps femoris long head (BFlh) proximal aponeurosis has been suggested as a risk factor for hamstring strain injury by concentrating mechanical strain on the surrounding muscle tissue. However, the size of the BFlh aponeurosis relative to BFlh muscle size, or overall knee flexor strength, has not been investigated. This study aimed to examine the relationship of BFlh proximal aponeurosis area with muscle size (maximal anatomical cross-sectional area (ACSAmax)) and knee flexor strength (isometric and eccentric). METHODS: Magnetic resonance images of the dominant thigh of 30 healthy young males were analyzed to measure BFlh proximal aponeurosis area and muscle ACSAmax. Participants performed maximum voluntary contractions to assess knee flexion maximal isometric and eccentric torque (at 50° s and 350° s). RESULTS: BFlh proximal aponeurosis area varied considerably between participants (more than fourfold, range = 7.5-33.5 cm, mean = 20.4 ± 5.4 cm, coefficient of variation = 26.6%) and was not related to BFlh ACSAmax (r = 0.04, P = 0.83). Consequently, the aponeurosis/muscle area ratio (defined as BFlh proximal aponeurosis area divided by BFlh ACSAmax) exhibited sixfold variability, being 83% smaller in one individual than another (0.53 to 3.09, coefficient of variation = 32.5%). Moreover, aponeurosis size was not related to isometric (r = 0.28, P = 0.13) or eccentric knee flexion strength (r = 0.24, P ≥ 0.20). CONCLUSION: BFlh proximal aponeurosis size exhibits high variability between healthy young men, and it was not related to BFlh muscle size or knee flexor strength. Individuals with a relatively small aponeurosis may be at increased risk of hamstring strain injury.

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.

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.