The Application of non-linear methods to quantify changes to movement dynamics during running: A scoping review.

The aim of this scoping review was to evaluate research approaches that quantify changes to non-linear movement dynamics during running in response to fatigue, different speeds, and fitness levels. PubMed and Scopus were used to identify appropriate research articles. After the selection of eligible studies, study details and participant characteristics were extracted and tabulated to identify methodologies and findings. Twenty-seven articles were included in the final analysis. To evaluate non-linearities in the time series, a range of approaches were identified including motion capture, accelerometery, and foot switches. Common methods of analysis included measures of fractal scaling, entropy, and local dynamic stability. Conflicting findings were evident when studies examined non-linear features in fatigued states when compared to non-fatigued. More pronounced alterations to movement dynamics are evident when running speed is changed markedly. Greater fitness levels resulted in more stable and predictable running patterns. The mechanisms by which these changes are underpinned require further examination. These could include the physiological demand of running, biomechanical constraints of the runner, and the attentional demands of the task. Moreover, the practical implications are yet to be elucidated. This review has identified gaps in the literature which should be addressed for further understanding of the field.

A non-linear analysis of running in the heavy and severe intensity domains.

PURPOSE: Altered movement complexity, indicative of system dysfunction, has been demonstrated with increased running velocity and neuromuscular fatigue. The critical velocity (CV) denotes a metabolic and neuromuscular fatigue threshold. It remains unclear whether changes to complexity during running are coupled with the exercise intensity domain in which it is performed. The purpose of this study was to examine whether movement variability and complexity differ exclusively above the CV intensity during running. METHODS: Ten endurance-trained participants ran at 95%, 100%, 105% and 115% CV for 20 min or to task failure, whichever occurred first. Movement at the hip, knee, and ankle were sampled throughout using 3D motion analysis. Complexity of kinematics in the first and last 30 s were quantified using sample entropy (SampEn) and detrended fluctuation analysis (DFA-α). Variability was determined using standard deviation (SD). RESULTS: SampEn decreased during all trials in knee flexion/extension and it increased in hip internal/external rotation, whilst DFA-α increased in knee internal/external rotation. SD of ankle plantar/dorsiflexion and inversion/eversion, knee internal/external rotation, and hip flexion/extension and abduction/adduction increased during trials. Hip flexion/extension SampEn values were lowest below CV. DFA-α was lower at higher velocities compared to velocities below CV in ankle plantar/dorsiflexion, hip flexion/extension, hip adduction/abduction, hip internal/external rotation. In hip flexion/extension SD was highest at 115% CV. CONCLUSIONS: Changes to kinematic complexity over time are consistent between heavy and severe intensity domains. The findings suggest running above CV results in increased movement complexity and variability, particularly at the hip, during treadmill running.

Genetic basis and evolution of rapid cycling in railway populations of tetraploid Arabidopsis arenosa.

Spatially structured plant populations with diverse adaptations provide powerful models to investigate evolution. Human-generated ruderal habitats are abundant and low-competition, but are challenging for plants not adapted to them. Ruderal habitats also sometimes form networked corridors (e.g. roadsides and railways) that allow rapid long-distance spread of successfully adapted variants. Here we use transcriptomic and genomic analyses, coupled with genetic mapping and transgenic follow-up, to understand the evolution of rapid cycling during adaptation to railway sites in autotetraploid Arabidopsis arenosa. We focus mostly on a hybrid population that is likely a secondary colonist of a railway site. These mountain railway plants are phenotypically similar to their cosmopolitan cousins. We thus hypothesized that colonization primarily involved the flow of adaptive alleles from the cosmopolitan railway variant. But our data shows that it is not that simple: while there is evidence of selection having acted on introgressed alleles, selection also acted on rare standing variation, and new mutations may also contribute. Among the genes we show have allelic divergence with functional relevance to flowering time are known regulators of flowering, including FLC and CONSTANS. Prior implications of these genes in weediness and rapid cycling supports the idea that these are "evolutionary hotspots" for these traits. We also find that one of two alleles of CONSTANS under selection in the secondary colonist was selected from rare standing variation in mountain populations, while the other was introgressed from the cosmopolitan railway populations. The latter allele likely arose in diploid populations over 700km away, highlighting how ruderal populations could act as allele conduits and thus influence local adaptation.

Habitat-Associated Life History and Stress-Tolerance Variation in Arabidopsis arenosa.

Weediness in ephemeral plants is commonly characterized by rapid cycling, prolific all-in flowering, and loss of perenniality. Many species made transitions to weediness of this sort, which can be advantageous in high-disturbance or human-associated habitats. The molecular basis of this shift, however, remains mostly mysterious. Here, we use transcriptome sequencing, genome resequencing scans for selection, and stress tolerance assays to study a weedy population of the otherwise nonweedy Arabidopsis arenosa, an obligately outbreeding relative of Arabidopsis thaliana Although weedy A. arenosa is widespread, a single genetic lineage colonized railways throughout central and northern Europe. We show that railway plants, in contrast to plants from sheltered outcrops in hill/mountain regions, are rapid cycling, have lost the vernalization requirement, show prolific flowering, and do not return to vegetative growth. Comparing transcriptomes of railway and mountain plants across time courses with and without vernalization, we found that railway plants have sharply abrogated vernalization responsiveness and high constitutive expression of heat- and cold-responsive genes. Railway plants also have strong constitutive heat shock and freezing tolerance compared with mountain plants, where tolerance must be induced. We found 20 genes with good evidence of selection in the railway population. One of these, LATE ELONGATED HYPOCOTYL, is known in A. thaliana to regulate many stress-response genes that we found to be differentially regulated among the distinct habitats. Our data suggest that, beyond life history regulation, other traits like basal stress tolerance also are associated with the evolution of weediness in A. arenosa.

The Relationship Between the Moderate-Heavy Boundary and Critical Speed in Running.

PURPOSE: Training characteristics such as duration, frequency, and intensity can be manipulated to optimize endurance performance, with an enduring interest in the role of training-intensity distribution to enhance training adaptations. Training intensity is typically separated into 3 zones, which align with the moderate-, heavy-, and severe-intensity domains. While estimates of the heavy- and severe-intensity boundary, that is, the critical speed (CS), can be derived from habitual training, determining the moderate-heavy boundary or first threshold (T1) requires testing, which can be costly and time-consuming. Therefore, the aim of this review was to examine the percentage at which T1 occurs relative to CS. RESULTS: A systematic literature search yielded 26 studies with 527 participants, grouped by mean CS into low (11.5 km·h-1; 95% CI, 11.2-11.8), medium (13.4 km·h-1; 95% CI, 11.2-11.8), and high (16.0 km·h-1; 95% CI, 15.7-16.3) groups. Across all studies, T1 occurred at 82.3% of CS (95% CI, 81.1-83.6). In the medium- and high-CS groups, T1 occurred at a higher fraction of CS (83.2% CS, 95% CI, 81.3-85.1, and 84.2% CS, 95% CI, 82.3-86.1, respectively) relative to the low-CS group (80.6% CS, 95% CI, 78.0-83.2). CONCLUSIONS: The study highlights some uncertainty in the fraction of T1 relative to CS, influenced by inconsistent approaches in determining both boundaries. However, our findings serve as a foundation for remote analysis and prescription of exercise intensity, although testing is recommended for more precise applications.

Remote Determination of Critical Speed and Critical Power in Recreational Runners.

PURPOSE: This study aimed to compare estimations of critical speed (CS) and work completed above CS (D'), and their analogies for running power (critical power [CP] and W'), derived from raw data obtained from habitual training (HAB) and intentional maximal efforts in the form of time trials (TTs) and 3-minute all-out tests (3MTs) in recreational runners. The test-retest reliability of the 3MT was further analyzed. METHODS: Twenty-three recreational runners (4 female) used a foot pod to record speed, altitude, and power output for 8 consecutive weeks. CS and D', and CP and W', were calculated from the best 3-, 7-, and 12-minute segments recorded in the first 6 weeks of their HAB and in random order in weeks 7 and 8 from 3 TTs (3, 7, and 12 min) and three 3MTs (to assess test-retest reliability). RESULTS: There was no difference between estimations of CS or CP derived from HAB, TT, and 3MT (3.44 [0.63], 3.42 [0.53], and 3.76 [0.57] m · s-1 and 281 [41], 290 [45], and 305 [54] W, respectively), and strong agreement between HAB and TT for CS (r = .669) and CP (r = .916). Limited agreement existed between estimates of D'/W'. Moderate reliability of D'/W' was demonstrated between the first and second 3MTs, whereas excellent reliability was demonstrated for CS/CP. CONCLUSION: These data suggest that estimations of CS/CP can be derived remotely, from either HAB, TT, or 3MT, although the lower agreement between D'/W' warrants caution when using these measures interchangeably.

Decoupling of Internal and External Workload During a Marathon: An Analysis of Durability in 82,303 Recreational Runners.

AIM: This study characterised the decoupling of internal-to-external workload in marathon running and investigated whether decoupling magnitude and onset could improve predictions of marathon performance. METHODS: The decoupling of internal-to-external workload was calculated in 82,303 marathon runners (13,125 female). Internal workload was determined as a percentage of maximum heart rate, and external workload as speed relative to estimated critical speed (CS). Decoupling magnitude (i.e., decoupling in the 35-40 km segment relative to the 5-10 km segment) was classified as low (< 1.1), moderate (≥ 1.1 but < 1.2) or high (≥ 1.2). Decoupling onset was calculated when decoupling exceeded 1.025. RESULTS: The overall internal-to-external workload decoupling experienced was 1.16 ± 0.22, first detected 25.2 ± 9.9 km into marathon running. The low decoupling group (34.5% of runners) completed the marathon at a faster relative speed (88 ± 6% CS), had better marathon performance (217.3 ± 33.1 min), and first experienced decoupling later in the marathon (33.4 ± 9.0 km) compared to those in the moderate (32.7% of runners, 86 ± 6% CS, 224.9 ± 31.7 min, and 22.6 ± 7.7 km), and high decoupling groups (32.8% runners, 82 ± 7% CS, 238.5 ± 30.7 min, and 19.1 ± 6.8 km; all p < 0.01). Compared to females, males' decoupling magnitude was greater (1.17 ± 0.22 vs. 1.12 ± 0.16; p < 0.01) and occurred earlier (25.0 ± 9.8 vs. 26.3 ± 10.6 km; p < 0.01). Marathon performance was associated with the magnitude and onset of decoupling, and when included in marathon performance models utilising CS and the curvature constant, prediction error was reduced from 6.45 to 5.16%. CONCLUSION: Durability characteristics, assessed as internal-to-external workload ratio, show considerable inter-individual variability, and both its magnitude and onset are associated with marathon performance.

A retrospective study evaluating the trend of opioid prescribing in low back pain at a UK teaching hospital.

INTRODUCTION: Current data suggest that the chronic use of strong opioids in low back pain (LBP) is increasing. There is evidence for the use of opioids in the initial management of LBP, but the efficacy in the long term is unknown. This article intends to examine the use of opioids in patients with chronic LBP over a period of three doctor-led clinics. METHODS: Single-center retrospective cohort study following 200 patients through the pain clinic at a UK teaching hospital for more than two clinic visits, up to a maximum of three. Data concerning demographics, pain scores, medication changes, and clinic outcome. RESULTS: Data collected showed that there was a significant correlation between baseline morphine equivalent amount (MEA) and final clinic MEA; initial pain scores and final clinic MEA; cause of LBP and final clinic LBP; and traumatic LBP and absolute change in MEA. There was no association between number of physical interventions and MEA. The sample also showed an average absolute change in MEA by 2.93 ± 57.86 mg. The proportion of patients with a MEA of >50 mg/d increased from 24 to 29 percent. The proportion of patients on opioids at least one opioid increased by 10 percent. CONCLUSIONS: Significant predictors of final clinic MEA were initial pain scores, baseline MEA, and the cause of LBP. Duration of pain was a poor predictor of MEA. There was no association between MEA and number of interventions. In this cohort, the trend seems to be increasing the number and dose of opioids in patients with LBP.

Development of a clinically validated bulk failure test for ceramic crowns.

STATEMENT OF PROBLEM: Traditional testing of ceramic crowns creates a stress state and damage modes that differ greatly from those seen clinically. There is a need to develop and communicate an in vitro testing protocol that is clinically valid. PURPOSE: The purpose of this study was to develop an in vitro failure test for ceramic single-unit prostheses that duplicates the failure mechanism and stress state observed in clinically failed prostheses. This article first compares characteristics of traditional load-to-failure tests of ceramic crowns with the growing body of evidence regarding failure origins and stress states at failure from the examination of clinically failed crowns, finite element analysis (FEA), and data from clinical studies. Based on this analysis, an experimental technique was systematically developed and test materials were identified to recreate key aspects of clinical failure in vitro. MATERIAL AND METHODS: One potential dentin analog material (an epoxy filled with woven glass fibers; NEMA grade G10) was evaluated for elastic modulus in blunt contact and for bond strength to resin cement as compared to hydrated dentin. Two bases with different elastic moduli (nickel chrome and resin-based composite) were tested for influence on failure loads. The influence of water during storage and loading (both monotonic and cyclic) was examined. Loading piston materials (G10, aluminum, stainless steel) and piston designs were varied to eliminate Hertzian cracking and to improve performance. Testing was extended from a monolayer ceramic (leucite-filled glass) to a bilayer ceramic system (glass-infiltrated alumina). The influence of cyclic rate on mean failure loads was examined (2 Hz, 10 Hz, 20 Hz) with the extremes compared statistically (t test; α=.05). RESULTS: Failure loads were highly influenced by base elastic modulus (t test; P<.001). Cyclic loading while in water significantly decreased mean failure loads (1-way ANOVA; P=.003) versus wet storage/dry cycling (350 N vs. 1270 N). G10 was not significantly different from hydrated dentin in terms of blunt contact elastic behavior or resin cement bond strength. Testing was successful with the bilayered ceramic, and the cycling rate altered mean failure loads only slightly (approximately 5%). CONCLUSIONS: Test methods and materials were developed to validly simulate many aspects of clinical failure.

Relaxed purifying selection in autopolyploids drives transposable element over-accumulation which provides variants for local adaptation.

Polyploidization is frequently associated with increased transposable element (TE) content. However, what drives TE dynamics following whole genome duplication (WGD) and the evolutionary implications remain unclear. Here, we leverage whole-genome resequencing data available for ~300 individuals of Arabidopsis arenosa, a well characterized natural diploid-autotetraploid plant species, to address these questions. Based on 43,176 TE insertions we detect in these genomes, we demonstrate that relaxed purifying selection rather than transposition bursts is the main driver of TE over-accumulation after WGD. Furthermore, the increased pool of TE insertions in tetraploids is especially enriched within or near environmentally responsive genes. Notably, we show that the major flowering-time repressor gene FLC is disrupted by a TE insertion specifically in the rapid-cycling tetraploid lineage that colonized mainland railways. Together, our findings indicate that tetrasomy leads to an enhanced accumulation of genic TE insertions, some of which likely contribute to local adaptation.

Rates of Abnormally Low TOPF Word Reading Scores in Individuals Failing Versus Passing Performance Validity Testing.

The present study examined the impact of performance validity test (PVT) failure on the Test of Premorbid Functioning (TOPF) in a sample of 252 neuropsychological patients. Word reading performance differed significantly according to PVT failure status, and number of PVTs failed accounted for 7.4% of the variance in word reading performance, even after controlling for education. Furthermore, individuals failing ≥2 PVTs were twice as likely as individuals passing all PVTs (33% vs. 16%) to have abnormally low obtained word reading scores relative to demographically predicted scores when using a normative base rate of 10% to define abnormality. When compared with standardization study clinical groups, those failing ≥2 PVTs were twice as likely as patients with moderate to severe traumatic brain injury and as likely as patients with Alzheimer's dementia to obtain abnormally low TOPF word reading scores. Findings indicate that TOPF word reading based estimates of premorbid functioning should not be interpreted in individuals invalidating cognitive testing.

Excessive decline from premorbid functioning: detecting performance invalidity with the WAIS-IV and demographic predictions.

OBJECTIVE: Excessive Decline from Premorbid Functioning (EDPF) is presented as a construct and defined as a discrepancy between predicted premorbid ability and current test performance that is so atypical of individuals with true neurocognitive impairment that it is likely the product of performance invalidity. New embedded PVTs (EDPF-FSIQ, EDPF-VW, and EDPF-PP) were derived by comparing scores from the WAIS-IV to TOPF demographically predicted premorbid estimates and then examined for classification accuracy. PARTICIPANTS AND METHODS: After excluding for dementia, intellectual disability, and left-sided stroke, participants (n = 230) were grouped according to number of PVTs failed. ROC analyses were conducted to determine the accuracy of EDPF indices in classifying patients as failing 0 or ≥2 PVTs within both a mixed neuropsychological outpatient sample and according to specific diagnostic criterion groups. RESULTS: Significant group differences emerged for all EDPF indices (p < .001). EDPF-FSIQ resulted in an AUC of .837, classifying patients with 56% sensitivity at ≥90% specificity, and EDPF-VW resulted in an AUC of .850, classifying patients with 61% sensitivity at ≥90% specificity. Accuracy remained high across diagnostic groups (i.e. neurocognitive, moderate/severe TBI, and psychiatric) for EDPF-VW and EDPF-FSIQ, whereas specificity declined for EDPF-PP in patients with mixed neurocognitive disorders. Overall, classification accuracy rates exceeded those of Reliable Digit Span. CONCLUSIONS: Both EDPF-FSIQ and EDPF-VW demonstrated excellent discrimination between patients providing valid versus invalid test performance. Unique advantages of EDPF validity measures include incorporation of demographic estimates of premorbid ability and examination of performances on multiple tests spanning different cognitive domains.

Bilateral dorsolateral thalamic lesions disrupts conscious recollection.

In an earlier study we disputed the claim that the mediodorsal thalamic nucleus is critical for familiarity. We reported patient (QX) who showed a severe deficit in conscious recollection, and behavioural problems (disinhibition, emotional lability) with relative sparing of familiarity-aware memory following a left mediodorsal thalamic lesion. More recent MR imaging has revealed that QX's lesions are more extensive than previously reported and involve both dorsolateral thalamic nuclei, and whilst there is evidence of left mediodorsal thalamic damage, it is not the main focus of damage. This paper reports a full analysis of QX's thalamic pathology alongside a more detailed investigation of his recognition memory, using yes/no and forced-choice procedures, and executive function. The results revealed impairments in yes/no recognition and conscious recollection rates of famous, artist and unknown names. In addition to the previously noted behavioural disinhibition and emotional lability, a deficit in spontaneous planning ability was evident on the Zoo Map Test (subtest of the Bahavioural Assessment of the Dysexecutive Syndrome). Forced-choice recognition, familiarity estimates and remote memory showed higher levels of preservation. The findings indicate that the dorsolateral thalamus is part of the extended hippocampal circuit which is causally critical only for recall and conscious recollection of complex associations rather than for the more automatic processes linked with novelty detection.

Under pressure: progressively enlarging facial mass following high-pressure paint injection injury.

High-pressure paint injection injuries are relatively rare industrial accidents and almost exclusively occur on the non-dominant hand. A rarely documented complication of these injuries is the formation of a foreign body granuloma. We report a case of a 33-year-old man presenting with extensive facial scarring and progressive right paranasal swelling 7 years after a high-pressure paint injury. After imaging investigations, an excision of the mass and revision of scarring was performed. Access to the mass was gained indirectly through existing scarring over the nose to ensure an aesthetic result. Histological analysis revealed a florid granulomatous foreign body reaction to retained paint. To the best of our knowledge, this is the first reported case of a facial high-pressure paint injury with consequent formation of a foreign body granuloma.