Individual physiological responses to changes in shoe bending stiffness: a cluster analysis study on 96 runners.

BACKGROUND: Shoe longitudinal bending stiffness is known to influence running economy (RE). Recent studies showed divergent results ranging from 3% deterioration to 3% improvement in RE when bending stiffness increases. The variability of these results highlights inter-individual differences. Thus, our purpose was to study the runner-specific metabolic responses to changes in shoe bending stiffness. METHODS: After assessing their maximal oxygen consumption ([Formula: see text] max) and aerobic speed (MAS) during a first visit, 96 heterogeneous runners performed two treadmill 5 min runs at 75% [Formula: see text] max with two different prototypes of shoes on a second day. Prototypes differed only by their forefoot bending stiffness (17 N/mm vs. 10.4 N/mm). RE and stride kinematics were recorded during each trial. A clustering analysis was computed by comparing the measured RE and the technical measurement error of our gas exchange analyzer to identify functional groups of runners, i.e., responding similarly to footwear interventions. ANOVAs were then computed on biomechanical and morphological variables to compare the functional groups. RESULTS: Considering the whole sample (n = 96), there was no significant difference in RE between the two conditions. Cluster 1 (n = 29) improves RE in the stiffest condition (2.7 ± 2.1%). Cluster 2 (n = 26) impairs RE in the stiffest condition (2.7 ± 1.3%). Cluster 3 (n = 41) demonstrated no change in RE (0.28 ± 0.65%). Cluster 1 demonstrated 1.7 km·h-1 greater MAS compared to cluster 2 (p = 0.014). CONCLUSION: The present study highlights that the effect of shoe bending stiffness on RE is runner-specific. High-level runners took advantage of increased bending stiffness, whereas medium-level runners did not. Finally, this study emphasizes the importance of individual response examination to understand the effect of footwear on runner's performance.

The effects of unstable surface conditions on lower limb biomechanical parameters during running.

The aim of this study was to analyse the kinematics and kinetics of the lower extremities in the sagittal plane, when running under unstable surface conditions. It was hypothesized that 1) a greater effect of the unstable surface would occur in the gastrocnemius, soleus, and tibialis anterior muscles, contributing to plantar- and dorsi-flexion, compared to muscles involved in hip and knee movements, and 2) the step-to-step absolute variability would be larger in the unstable condition. Eleven male-subjects completed running trials on stable and unstable surfaces in a laboratory setup. Inverse kinematic and dynamic analyses were conducted to calculate kinematics and moments at the lower extremity joints. Additionally, muscle force and activation related variables were calculated for six lower limb muscles using musculoskeletal modelling. Furthermore, the individual SD was calculated for all the variables as a measurement of absolute step-to-step variability. The unstable surface led to a decrease in joint ROM of the knee and ankle by 8.3% and 11.4%, and a decrease of 13.3% on average in force development of the ankle plantar-flexor, which also was reflected by decreasing muscle peak forces of Soleus and Gastrocnemius of 10.3% and 10.8%. Furthermore, an increase of force of Biceps Femoris and activation of Vastus Lateralis were found during the unstable condition. The step-to-step variability increased up to 158% when changing to the unstable condition. In conclusion, the findings revealed for the first time, lower ankle muscle forces mostly reflecting biomechanical adjustments to the surface conditions as well as larger absolute variability when running on the unstable surface.

Study of the Kinetics of the Determinants of Performance During a Mountain Ultramarathon: Multidisciplinary Protocol of the First Trail Scientifique de Clécy 2021.

BACKGROUND: The growing interest of the scientific community in trail running has highlighted the acute effects of practice at the time of these races on isolated aspects of physiological and structural systems; biological, physiological, cognitive, and muscular functions; and the psychological state of athletes. However, no integrative study has been conducted under these conditions with so many participants and monitoring of pre-, per-, and postrace variables for up to 10 days over a distance close to 100 miles. OBJECTIVE: The aim of this study was to evaluate the kinetics of the performance parameters during a 156 km trail run and 6000 m of elevation gain in pre-, per-, and postrace conditions. The general hypothesis is based on significant alterations in the psychological, physiological, mechanical, biological, and cognitive parameters. METHODS: The Trail Scientifique de Clécy took place on November 11, 2021. This prospective experimental study provides a comprehensive exploration of the constraints and adaptations of psychophysiological and sociological variables assessed in real race conditions during a trail running of 156 km on hilly ground and 6000 m of elevation gain (D+). The study protocol allowed for repeatability of study measurements under the same experimental conditions during the race, with the race being divided into 6 identical loops of 26 km and 1000 m D+. Measurements were conducted the day before and the morning of the race, at the end of each lap, after a pit stop, and up to 10 days after the race. A total of 55 participants were included, 43 (78%) men and 12 (22%) women, who were experienced in ultra-trail-running events and with no contraindications to the practice of this sport. RESULTS: The launch of the study was authorized on October 26, 2021, under the trial number 21-0166 after a favorable opinion from the Comité de Protection des Personnes Ouest III (21.09.61/SIRIPH 2G 21.01586.000009). Of the 55 runners enrolled, 41 (75%) completed the race and 14 (25%) dropped out for various reasons, including gastric problems, hypothermia, fatigue, and musculoskeletal injuries. All the measurements for each team were completed in full. The race times (ie, excluding the measurements) ranged from 17.8206 hours for the first runner to 35.9225 hours for the last runner. The average time to complete all measurements for each lap was 64 (SD 3) minutes. CONCLUSIONS: The Trail Scientifique de Clécy, by its protocol, allowed for a multidisciplinary approach to the discipline. This approach will allow for the explanation of the studied parameters in relation to each other and observation of the systems of dependence and independence. The initial results are expected in June 2022. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/38027.

Glide Time Relates to Mediolateral Plantar Pressure Distribution Rather Than Ski Edging in Ski Skating.

The purpose of this study was (i) to assess the differences in relative glide time and both ski edging angle and plantar pressure mediolateral distribution in skiers of different levels and (ii) to further investigate the relationships between the aforementioned variables. Twelve male cross-country skiers (6 national and 6 regional level) skied at 4.2 m s-1 on a 2.5° uphill snow track using the V2 technique. The relative glide time (in percentage of contact time) and mediolateral plantar pressure distribution variables (asymmetry index, ASI) were derived from pressure insole measurements. Ski edging angle variables were calculated from an Inertial Measurement Unit placed on the ski. Minimum, maximum, mean, and range of both ASI and ski edging angle were computed over the gliding phase, giving information about the beginning, end, and throughout the gliding phase. Relative glide time was significantly higher, and minimum and mean ASI were significantly lower in the national- than in the regional-level skiers. Relative glide time was strongly negatively correlated to minimum ASI (i.e., plantar pressure mostly on the foot lateral side at the beginning of gliding phase) and strongly positively correlated to ASI range. These results may reflect a larger body mass transfer above the ski from the beginning of the gliding phase to increase gliding, especially in the national-level skiers. Ski edging angle seems less relevant to discriminate skiers' level of performance. These results have direct consequences on how technique must be taught to young cross-country skiers.

A narrative review of potential measures of dynamic stability to be used during outdoor locomotion on different surfaces.

Dynamic stability of locomotion plays an important role in running injuries, particularly during trail running where ankle injuries occur frequently. Several studies have investigated dynamic stability of locomotion using wearable accelerometer measurements. However, no study has reviewed how dynamic stability of locomotion is quantified using accelerometry. Therefore, the present review aims to synthetise the methods and findings of studies investigating stability related parameters measured by accelerometry, during locomotion on various surfaces, and among asymptomatic participants. A systematic search of studies associated with locomotion was conducted. Only studies including assessment of dynamic stability parameters based on accelerometry, including at least one group of asymptomatic participants, and conditions that occur during trail running were considered relevant for this review. Consequently, all retrieved studies used a non-obstructive portable accelerometer or an inertial measurement unit. Fifteen studies used a single tri-axial accelerometer placed above the lumbar region allowing outdoor recordings. From trunk accelerations, a combination of index of cycle repeatability and signal dispersion can adequately be used to assess dynamic stability. However, as most studies included indoor conditions, studies addressing the biomechanics of trail running in outdoor conditions are warranted.

Effects of compression stockings on ankle muscle H-reflexes during standing.

INTRODUCTION: Wearing compression stockings (CS) may improve postural stability through additional cutaneous feedback. The aim of this study was to further determine how wearing CS could influence spinal excitability by investigating ankle muscle H-reflexes. METHODS: Fifteen subjects were asked to stand barefoot on a rigid floor with their eyes open. H-reflex amplitude was measured in the soleus (SOL), fibularis longus (FL), and tibialis anterior (TA) muscles, with and without CS. Concomitant M-waves and baseline electromyographic activity (EMG) were monitored. RESULTS: Baseline EMG activity and concomitant M-wave amplitude remained stable across conditions in all tested muscles. Although CS did not affect the H-reflex in the SOL (+0.8 ± 19.2%; P = 0.77) and FL (-10.0± 33.2%; P = 0.28) muscles, the TA H-reflex was significantly depressed (-21.9% ± 24.0%; P = 0.03). CONCLUSIONS: These results suggest decreased spinal motoneuron excitability and/or increased presynaptic inhibition of Ia-afferent terminals through increased cutaneous inputs provided by CS while standing. Muscle Nerve 55: 596-598, 2017.

A soft ankle brace increases soleus Hoffman reflex amplitude but does not modify presynaptic inhibition during upright standing.

External ankle supports, such as ankle braces, may improve postural stability by stimulating cutaneous receptors. It remains unknown whether these supports have an effect on the posture central regulation. The aim of this study was to determine the effect of wearing a soft ankle brace on soleus H-reflex amplitude and presynaptic inhibition during standing. Sixteen subjects stood on a rigid floor with their eyes opened, either barefoot or wearing a soft ankle brace. H-reflex amplitude was measured on the soleus muscle by stimulating the tibial nerve electrically. Modulation of presynaptic inhibition was assessed by conditioning the H-reflex with fibular nerve (D1 inhibition) and femoral nerve (heteronymous facilitation) electrical stimulations. The unconditioned H-reflex amplitude was significantly greater when wearing the ankle brace than barefoot, whereas D1 and HF conditioned soleus H-reflex did not differ significantly between bracing conditions. These results suggest that the ankle brace increased the soleus motoneuron excitability without altering presynaptic mechanisms, potentially because of increased cutaneous mechanoreceptors afferent signals provided by the soft ankle brace.

Cutaneous stimulation at the ankle: a differential effect on proprioceptive postural control according to the participants' preferred sensory strategy.

BACKGROUND: Ankle movements can be partially encoded by cutaneous afferents. However, little is known about the central integration of these cutaneous signals, and whether individual differences exist in this integration. The aim of this study was to determine whether the effect of cutaneous stimulation at the ankle would differ depending on the participants' preferred sensory strategy appraised by relative proprioceptive weighting (RPw). METHODS: Forty-seven active young individuals free of lower-limb injury stood on a force platform either barefoot or wearing a custom-designed bootee. Vibrations (60 Hz, 0.5 mm) were applied either to the peroneal tendons or to the lumbar paraspinal muscles. RESULTS: The barefoot RPw was strongly negatively correlated to the absolute change in RPw measured in the bootee condition (r = -0.81, P < 0.001). Participants were then grouped depending on their barefoot RPw value. The RPw was significantly higher in the bootee condition than in the barefoot condition only for participants with low barefoot RPw. CONCLUSIONS: The external cutaneous stimulation given by the bootee increased the weight of ankle proprioceptive signals only for participants with low barefoot RPw. This result confirmed that optimization of the ankle proprioceptive signals provided by cutaneous afferent stimulation has a differential effect depending on the participants' preferred sensory strategy.