Gender differences in coordination variability between shank and rearfoot during running

Female recreational runners are 2–3 times more likely to suffer from knee injury compared with male runners. However, the exact reason for this gender difference regarding knee injury remains unclear. Our study aimed to investigate gender differences in coordination variability between shank and rearfoot during running using statistical parametric mapping (SPM). Eleven healthy males and eleven healthy females ran on a treadmill. A modified vector coding technique procedure was used to create joint coupling between shank internal/external rotation and rearfoot eversion/inversion. The standard deviation of each coupling was computed as a measure of coordination variability during the stance phase. All trajectory data of coordination variability between genders were analyzed using a two-sample t-test of SPM. No differences in the normalized spatiotemporal parameters of speed, cadence and step length were found between males and females. SPM showed no significant differences between the genders in coordination variability. This study demonstrated that coordination variability between the shank and rearfoot during running may not be associated with the different incidence rates of knee injuries among male and female participants.     

Changes in coordination and variability during running as a function of head stability demands

The purpose of this study was to identify changes in segment/joint coordination and coordination variability in running with increasing head stability requirements. Fifteen strides from twelve recreational runners while running on a treadmill at their preferred speed were collected. Head stability demands were manipulated through real-time visual feedback that required head-gaze orientation to be contained within boxes of different sizes, ranging from 21 to 3 degrees of visual angle in 3-degree decrements. Coordination patterns and coordination variability were assessed between head and trunk segments, hip and knee joints, and knee and ankle joints in the three cardinal planes, respectively. Mean coupling angles and the standard deviation of the coupling angles at each individual point of the stance phase were calculated using a modified vector coding technique and circular statistics. As head stability demands increased, transverse plane head-trunk coordination was more anti-phase and showed increased head‑leading and decreased trunk‑leading patterns; for the lower extremity, there was increased in-phase and decreased anti-phase sagittal plane coordination. Increased head stability demands also resulted in an increase in coordination variability for both upper body and lower extremity couplings during the second half of the stance phase. Overall, the results provide evidence that coordinative adaptations to increasing head stability demands occur throughout the entire body: 1) through more independent control of the head relative to the trunk; 2) by increasing in-phase coordination between lower extremity joints, and 3) through increased coordination variability in the second half of stance in both upper body segmental and lower extremity joint couplings. These adaptations likely contribute to the reduction of the range of motion of the trunk in vertical direction.     

Inter-joint coordination patterns differ between younger and older runners

Older runners are at greater risk of certain running-related injuries. Previous work demonstrated that aging influences running biomechanics, and suggest a compensatory relation between changes in the proximal and distal joints. Previous comparisons of interjoint coordination strategies between young and older runners could potentially have missed relevant differences by averaging coordination measures across time.ObjectiveTo compare coordination strategies between male runners under the age of 30 to those over the age of 60.MethodsTwelve young (22 ± 3 yrs, 1.80 ± 0.07 m, 78.0 ± 12.1 kg) and 12 older (63 ± 3 yrs, 1.78 ± 0.06 m, 73.2 ± 15.8 kg) male runners ran at 3.35 m/s on an instrumented treadmill. Ankle frontal plane, tibial transverse plane, knee sagittal plane, and hip frontal plane motion were measured. Inter-joint coordination was calculated using a modified vector coding technique. Coordination patterns and variability time series were compared between groups throughout stance using ANOVA for circular data.ResultsAt the ankle, older runners use in-phase propulsion (inversion, tibia external rotation) pattern following midstance (46–47% stance) while young runners are still in an in-phase collapse pattern (eversion, tibia external rotation). In coordination of the knee and hip, older runners maintained an in-phase collapse pattern (knee flexion, hip adduction) approaching midstance (35–37% stance), while younger runners use an out of phase strategy (knee extension, hip adduction). In coordination of the ankle and hip in the frontal plane, older runners again maintained an in phase collapse pattern up to midstance (34–39% stance), while younger runners used an out of phase strategy (ankle inversion, hip adduction). Variability was similar between age groups.ConclusionOlder runners appear to display altered coordination patterns during mid-stance, which may indicate protective biomechanical adaptations. These changes may also have implications for performance in older runners.     

Bilateral asymmetry of running gait in competitive,recreational and novice runners at different speeds

The mechanisms and underlying causes of bilateral asymmetry among healthy runners of different levels remain unclear. This cross-sectional laboratory study aimed to investigate the effects of running speed and running experience or competitive level on bilateral symmetry during running. Eleven competitive runners, 9 recreational runners and 11 novice runners were recruited in this study. They ran on an instrumented treadmill for 3 min at each of 5 fixed speeds (8, 9, 10, 11 and 12 km/h) in a randomized order. Bilateral asymmetry was evaluated and quantified using symmetry index (SI) of temporal and kinetic parameters. Overall, SI ranged between 0.8% for stride time and 21.4% for vertical average loading rate. Significant speed effects were observed on SI of flight time (p = .012), which was significantly higher at 8 km/h than that of the other 4 speeds (p = .023, 0.005, 0.023 and 0.028, respectively). Group-by-speed interactions were detected on SI in time to peak vertical ground reaction force (p = .032) and vertical average loading rate (p = .002). The competitive runners presented linear reduction in the SI with increasing speed from 8 to 12 km/h (R² > 0.94); for the recreational runners, SI changed nonlinearly and presented a roughly U-shaped trend across speeds (R² > 0.88); and for the novice runners, changes of SI across speed were inconsistent and dependent on parameters of interest (R² > 0.64). Bilateral asymmetry was affected by both running speed and runners' running experience or competitive level. The competitive runners were found to run with a more symmetrical manner with a greater running speed, the recreational runners demonstrated the most symmetrical pattern at the critical speed, whereas the novice runners showed inconsistent trends.     

The effect of external perturbations on variability in joint coupling and single joint variability

This paper explores the effect of goal-oriented external perturbations created by elastic tubes attached to the hip and ankles on lower limb joint variability and hip–knee and knee–ankle coordination variability during running. Kinematics of ten healthy male runners were analysed prior to and following a 7-week tube running intervention while running with and one without this constraint. The training intervention was based on variable training aspects to increase within-movement variability and adaptability of the running pattern. To analyse the effects of the tubes on the running pattern, the phase plot vector length deviation (i.e., the standard deviation of the phase plot vector length) for the within-joint variability and the continuous relative phase variability for the joint coupling variability were calculated. Results revealed acute increases of variability in both parameters. However, after the intervention, variability of the tube running situation returned to normal for all couplings and joints except the knee. No transfer effects to normal running were observed. This suggests very rapid adaptations to such perturbations. In the long-term, it may ask for more or different variations.     

Using the variability of continuous relative phase as a measure to discriminate between healthy and injured runners

Several studies have used variability of continuous relative phase (CRP) to investigate overuse injuries, since low variability is thought to be related to running injuries. This study investigates whether the analysis of CRP variability leads to additional information about possible differences or similarities between healthy and injured runners. Further, a decision about future applications of CRP variability should be based on the ability to implement and interpret data. 18 healthy female runners (CO) and 18 female runners who suffered from iliotibial band syndrome (ITBS) were evaluated by calculating CRP variability for 4 coupling pairs. Besides analyzing continuous variability of CRP, we also averaged it for the whole stance phase and for four predefined stance phase intervals. Confidence intervals were displayed and independent t-tests for comparing the two groups were conducted. During initial and terminal stance phase as well as after heel-off an increase in CRP variability was detected for both groups of runners. In contrast, the foot flat period was characterized by stable joint coordination and a decrease in variability. This paper presents possible interpretations of CRP variability but no statistically significant differences in CRP variability were found between the two groups of runners. Despite the missing statistical significance, a relationship between high CRP variability and injury seems to be conceivable, since the injured runners demonstrated an increased variability for all couplings in the first half of the stance phase. Further application of CRP variability in biomechanical research is essential to determine whether a relationship exists between injury and coordination variability.     

Perceived benefits of marathon running in males and females

The differences in both perceived benefits and attitudes toward running between male and female runners, and between runners who classified themselves as competitive runners (CR) or recreational runners (RR), was the focus of this study. Four-hundred and two runners completed the Ten-Minute Survey for Runners within two weeks of completing a marathon. RR, more so than CR, perceived greater benefits from running. However, CR expressed a more positive attitude toward running and its role in their lives than did RR. Men perceived running to be more beneficial to them than women. However, women, more so than men, felt running had a positive effect on self-image and their lives were richer because of running. Future research concerns on the effects of competition on the lives of women are explored.     

Sex differences in association of race performance, skin-fold thicknesses, and training variables for recreational half-marathon runners

The purpose of this study was to investigate the association between selected skin-fold thicknesses and training variables with a half-marathon race time, for both male and female recreational runners, using bi- and multivariate analysis. In 52 men, two skin-fold thicknesses (abdominal and calf) were significantly and positively correlated with race time; whereas in 15 women, five (pectoral, mid-axilla, subscapular, abdominal, and suprailiac) showed positive and significant relations with total race time. In men, the mean weekly running distance, minimum distance run per week, maximum distance run per week, mean weekly hours of running, number of running training sessions per week, and mean speed of the training sessions were significantly and negatively related to total race time, but not in women. Interaction analyses suggested that race time was more strongly associated with anthropometry in women than men. Race time for the women was independently associated with the sum of eight skin-folds; but for the men, only the mean speed during training sessions was independently associated. Skin-fold thicknesses and training variables in these groups were differently related to race time according to their sex.     

Inter-individual variability in the upper-lower limb breaststroke coordination

The aim of the present study was to examine inter-individual variability in upper-lower limb breaststroke coordination. First, inter-individual variability was compared between recreational and comparative swimmers. Second, as recreational swimmers revealed more variable inter-limb coordination than competitive swimmers, inter-individual variability was assessed among recreational swimmers to identify coordination profiles. The elbow-knee continuous relative phase (CRP) was used to analyze upper-lower limbs coupling during a breaststroke cycle. Twenty-four recreational and twenty-four competitive swimmers swam 25 m at 80% of their maximal speed. Underwater and aerial side views were mixed and genlocked. Angular position, velocity and CRP were calculated for the knee and elbow joints by digitizing body markers from the side view. The kinematics of three cycles were filtered, averaged and normalized in terms of percentage of total cycle duration. The topography of the mean CRP curve of the recreational swimmers resembled a ‘W-shape’, whereas an ‘inverse U-shape’ was seen in the competitive swimmers. However, higher inter-individual variability was observed among the recreational swimmers than among the competitive swimmers (38.1° vs. 19.4°; p < .05), suggesting that several profiles of inter-limb coordination may exist in recreational swimmers. Coordination profiling showed that three clusters could classify the recreational swimmers.     

Use of self-organizing maps to study sex- and speed-dependent changes in running biomechanics

BackgroundUp to 79% of runners get injured every year, with higher rates of injuries occurring in females than males. A self-organizing map (SOM) is a type of artificial neural network that can be used to inspect large datasets and study coordination patterns. The purpose of this study was to use an SOM to study the effects of sex and speed on biomechanical coordination patterns.MethodThirty-two healthy runners ran on an instrumented treadmill at their long slow distance speed (LSD) and at speed 30% faster (LSD + 30%). Vertical ground reaction force (vGRF), vertical tibial acceleration, step parameters, electromyograms (EMG) of six lower limb muscles, and joint angles were collected across speeds. Rate of loading (ROL), tibial impact shock (TIS), coupling angle variability (CAV) and movement pattern proportions for hip/knee sagittal and hip frontal / knee sagittal plane couplings, peak EMG, step length, step rate, and knee and ankle joint angle at initial contact were used as an input for the SOM (37 variables).ResultsThe analysis identified four clusters (i.e., running patterns). While males and females showed similar distribution across clusters at LSD (p = .36) and at LSD + 30% (p = .51), females did exhibit a significant (p = .03) shift between clusters as the speed increased from LSD to LSD + 30% whereas males did not (p = .17). The shift was associated with an increase in TIS, ROL, step length, step rate, vastus lateralis EMG, hip flexion/knee extension movement pattern proportion, and a decrease in ST EMG and CAV_IC for hip sagittal/knee sagittal coupling.ConclusionAs running speed increased there was a significant change in the coordination pattern in females, which was characterized by increases in several variables that are purported risk factors for running related injuries.     

Intralimb gait coordination of individuals with stroke using vector coding

Individuals with stroke often present functional impairment and gait alteration. Among different aspects, intralimb coordination of these individuals is one of the key points that should be considered before implementing any gait intervention protocol. The purpose of this study was to investigate the effects of stroke on intralimb gait coordination of the lower limbs using a vector coding technique. Twenty-five individuals with stroke and 18 non-disabled individuals (control), between 46 and 71 years old, participated in this study. A computerized analysis system registered data from reflective markers placed on specific body landmarks to define thigh, shank, and foot of both body sides, as participants walked at self-selected comfortable speed. Coordination modes, such as in-phase, anti-phase, proximal-segment-phase, and distal-segment-phase, and variability of thigh-shank, and shank-foot were analyzed for the paretic, non-paretic and control limbs during the stance and swing periods, and the entire gait cycle using the vector coding technique. During the stance period, individuals with stroke presented higher frequency of thigh-phase and lower frequency of shank-phase for the thigh-shank coupling and higher frequency of shank-phase for the shank-foot coupling compared to non-disabled controls, indicating that the proximal segment of each pair leads the movement. During the swing period, the paretic limb presented higher frequency for in-phase than non-paretic and control limbs for the thigh-shank coupling. Adaptations in the non-paretic limb were observed in the swing period, with higher frequency than paretic and control limbs in the thigh-phase for the thigh-shank coupling, and higher frequency than the paretic limb in the foot-phase for the shank-foot coupling. No differences in coordination variability were found between paretic, non-paretic, and control limbs. The vector coding technique constitutes a useful tool for identifying gait alterations in intralimb coordination of individuals with stroke. Our coordination results demonstrate a shift from distal to more proximal control during the stance phase in both legs for the individuals with stroke and an inability to decouple segment coordination during the swing phase in the paretic limb. The results indicate that it is more suitable to consider the stance and swing periods separately instead of considering the entire gait cycle to investigate intralimb gait coordination of individuals with stroke.     

Ankle kinetics and plantarflexor morphology in older runners with different lifetime running exposures

Running promotes better cardiovascular health and has positive effects on the musculoskeletal system in older adults. However, older adults have lower ankle plantarflexor torques and positive powers during running, and exhibit changes in plantarflexor morphology than young adults. Since older runners who run as much as younger runners exhibit youthful ankle mechanical outputs, running exposure may preserve the locomotor factors that mediate running speed. The purpose of this study was to compare ankle mechanical output during running and plantarflexor morphological characteristics between older runners who have low or high lifetime running exposure. Ten older runners with low lifetime running exposure and nine older runners with high lifetime running exposure performed over-ground running trials at 3.0 m/s (±5%) while kinematic and ground reaction force (GRF) data were collected and used to compute joint angular kinetics. Right medial gastrocnemius morphological characteristics were assessed using ultrasonography at rest and during isometric contractions. Ankle torques, powers, and plantarflexor morphology were compared between groups. Older runners with different lifetime running exposures ran with similar ankle mechanical output (i.e. no effect of running exposure) (p > .05) and exhibited similar medial gastrocnemius morphology during isometric testing. The findings from this study demonstrate that lifetime running exposure does not appear to influence ankle mechanical output or plantarflexor morphology in middle-aged runners.     

A discrete-time hazard model of hitting the wall in recreational marathon runners

ObjectiveRecent literature has begun to describe and identify predictors of hitting the wall among recreational marathon runners. Our purpose was to extend previous findings by exploring the relative probability of when runners of various risk profiles hit the wall and to describe the overall functional form of risk over the course of a marathon.MethodSurvival methods and discrete-time hazard modeling were used to model self-reported hitting the wall occurrence data among 324 recreational marathon runners from four Eastern Seaboard marathons.ResultsThe combinative effects of male gender, running 20 miles or less in training, and expectancy, showed the greatest probability of hitting the wall at any timepoint of the marathon. The shape of hitting the wall risk appeared to most closely fit a cubic form with a dramatic incline of risk peaking at mile 21 followed by a precipitous decline.ConclusionThese findings further clarify under what circumstances recreational marathon runners are most and least likely to hit the wall and contributes to the formation of a conceptual definition of the phenomenon.     

“Look around while running!” Attentional focus effects in inexperienced runners

While attentional focus effects on running economy have been shown in different settings for trained athletes, it is unclear how attentional instructions should be formulated to improve running economy for inexperienced runners. The present study was designed to fill this gap and test attentional focus effects in runners with little running experience. An experimental design was implemented and participants ran 4 × 6 min at a slow and fixed running pace with different attentional instructions for each block (video, breathing, running movement, no instruction), while oxygen consumption was measured continuously. The results showed best running economy (lowest oxygen consumption) in the video compared with the breathing and movement condition which goes in line with effects for trained runners. Therefore, inexperienced runners can also profit from directing their attention externally and commonly taught principles such as focusing on the coordination of breathing and stride patterns should be reconsidered.     

Coordination of symmetrical and asymmetrical human gait

Most human gait forms assume symmetrical, alternating patterns of interlimb coordination (e.g., crawling, walking, running). Human galloping is a notable exception. In contrast to extensive information on galloping in animals, little is known about this gait in humans. Therefore, kinematic and topographical analyses of running and galloping were undertaken to investigate the manner in which the lower limbs are uncoupled to produce this asymmetrical gait. Seven adult females were filmed while running and galloping at their preferred speed. Analysis of the gaits revealed differences in the following: (a) preferred speed, (b) coupling between upper- and lower-limb girdles, and (c) point of foot fall (end-point trajectories). In contrast to clear differences in interlimb coordination, intralimb coordination was remarkably similar across gaits, although when galloping was adopted, the rear leg did show more variable change than the front leg.     

Speed influences on the scaling behavior of gait cycle fluctuations during treadmill running

The current study examined the temporal structure of gait cycle fluctuations in running. Participants ran at 80%, 90%, 100%, 110% and 120% of preferred running speed for 8min trials. Kinematic and kinetic gait cycle variables were generated from ground reaction force data. Mean, SD and CV of the kinematic and kinetic variables changed linearly with speed, whereas U-shaped functions were found for the scaling exponent alpha in 5 of the 8 variables investigated. Our findings reveal that long range correlations are present in both kinetic and kinematic variables of the gait cycle. The dependent structure of the stride interval is reduced at preferred running speed and this is hypothesized to be related to the enhanced stability and flexibility of this gait speed.     

Familiarisation of novice and experienced treadmill users during a running session: Group specific evidence,time and individual patterns

The elimination of familiarisation effects is a recurring topic in biomechanical testing during treadmill running among different experience levels. The two aims of this study were (i) to calculate familiarisation times of novice and experienced treadmill runners on a group level and (ii) to examine individual familiarisation patterns in order to classify those with similar characteristics. Twenty runners participated in this study by performing a treadmill running session with 3D motion capture. Familiarisation times for 9 kinematic variables among both groups (novices and experienced treadmill runners) were statistically analysed. Additionally a qualitative clustering process (supported by quantitative criteria) provided individual familiarisation patterns for all participants and variables. Group mean familiarisation times were inconsistent across variables (ranging from 3 to 14 min), with no general tendency for decreased familiarisation time in experienced compared to novice treadmill runners. The analysis of individual familiarisation patterns revealed that 30.5% were not stable after 15 min. Substantial changes compared to the initial state were observed in data sets with detected familiarisation pattern. Treadmill running experience does not affect familiarisation patterns since this process is highly individual and variable-specific. Consequently, no generalised familiarisation time can be provided and the elimination of familiarisation in biomechanical testing a priori does not seem to be possible in the first 15 min for approximately one third of the individual patterns studied. In conclusion, the common practice of collecting data subsequent to a pre-defined generalised familiarisation time ought to be replaced by measurements at several points in time during trials. This required procedure would allow for checking familiarisation patterns and fluctuations in order to exclude inappropriate data sets in future treadmill studies.     

Investigating the effects of movement speed on the lumbopelvic coordination during trunk flexion

Movement speed during trunk flexion has long been reported to affect task performance and biomechanical responses. The current study investigated how movement speed changed lumbopelvic coordination, especially lumbopelvic continuous relative phase and phase variability during trunk flexion. Eighteen subjects executed a paced trunk flexion routine over time periods of 3, 7, 11 and 15 seconds. The results demonstrated that compared with the 3-s condition, lumbopelvic continuous relative phase was 98.8% greater in the 15-s condition, indicating a more anti-phase coordination pattern. This pattern is suggested to mitigate the increased spinal loading associated with the longer duration of muscle exertion. Additionally, phase variability was 18.8% greater in the 15-s trials than the 3-s trials, such an unstable coordination pattern is likely caused by the more active neuromuscular control. Findings of this study provide important information about the effects of movement speed on lumbopelvic coordination during trunk flexion.     

Everyone can be a winner: The benefits of competing in organized races for recreational runners

ABSTRACT

Participants in the study were 404 recreational runners. At the end of each week for three months they used an online diary to describe their psychological well-being for the week (a total of 4046 weeks), and they indicated if they had participated in an organized race each week (a total of 1111 races). Multilevel modeling analyses (weeks nested within persons) found that well-being, defined in terms of self-esteem, self-efficacy, life satisfaction, positive affect, and depressed affect, was higher during weeks in which participants had run in an organized race than it was during weeks in which they had not run in an organized race. Moreover, well-being was positively related to self-evaluations of performance in races. For recreational runners, finishing an organized race may represent the achievement of a goal, an achievement that increases well-being and may help maintain or increase the motivation to keep running.     

Frontal plane multi-segment foot kinematics in high- and low-arched females during dynamic loading tasks

The functions of the medial longitudinal arch have been the focus of much research in recent years. Several studies have shown kinematic differences between high- and low-arched runners. No literature currently compares the inter-segmental foot motion of high- and low-arched recreational athletes. The purpose of this study was to examine inter-segmental foot motion in the frontal plane during dynamic loading activities in high- and low-arched female athletes. Inter-segmental foot motions were examined in 10 high- and 10 low-arched female recreational athletes. Subjects performed five barefooted trials in each of the following randomized movements: walking, running, downward stepping and landing. Three-dimensional kinematic data were recorded. High-arched athletes had smaller peak ankle eversion angles in walking, running and downward stepping than low-arched athletes. At the rear-midfoot joint high-arched athletes reached peak eversion later in walking and downward stepping than the low-arched athletes. The high-arched athletes had smaller peak mid-forefoot eversion angles in walking, running and downward stepping than the low-arched athletes. The current findings show that differences in foot kinematics between the high- and low-arched athletes were in position and not range of motion within the foot.