Adam M. Fullenkamp

Sex differences in whole body gait kinematics at preferred speeds.

Studies on human perception have identified pelvis and torso motion as key discriminators between male and female gaits. However, while most observers would advocate that men and women walk differently, consistent findings and explanations of sex differences in gait kinematics across modern empirical studies are rare. In the present study we evaluated sex differences in whole body gait kinematics from a large sample of subjects (55 men, 36 women) walking at self selected speeds. We analyzed the data through comparisons of discrete metrics and whole curve analyses. Results showed that in the frontal plane, women walked with greater pelvic obliquity than men, but exhibited a more stable torso and head. Women had greater transverse plane pelvis and torso rotation as well as greater arm swing. Additional sex differences were noted at the hip and ankle. These kinematic results are in line with anectdotal observations and qualitative studies. In order to understand these observations and substantiate some of the explanations previously set forth in the biomechanics literature, we also explored possible reasons for dynamic sex effects, and suggested applications that may benefit from their consideration.

Comparison of V[combining Dot Above]o2peak Performance on a Motorized vs. a Nonmotorized Treadmill

Abstract Morgan, AL, Laurent, CM, and Fullenkamp, AM. Comparison of V[Combining Dot Above]O2peak performance on a motorized vs. a nonmotorized treadmill. J Strength Cond Res 30(7): 1898–1905, 2016—Despite growing popularity of nonmotorized treadmills (NMTs), little data exist regarding responses during exercise testing using this equipment, which is important when providing an appropriate exercise prescription. The purpose of this study was to evaluate physiological and perceptual responses during peak graded exercise tests (GXTs) on a motorized treadmill (MT) vs. NMT. Volunteers (12 men and 12 women aged 18–35 years) performed 2 peak GXT sessions (1 MT and 1 NMT). Respiratory gases and heart rate (HR) were collected each minute; perceptual response was estimated (Borgs 6–20 rating of perceived exertion [RPE] scale) during the final 10 seconds of each stage. Peak values (i.e., V[Combining Dot Above]O2, HR, speed) were determined during the final 10 seconds of each test; ventilatory threshold (VT) was assessed using the V-slope method. Paired t-tests matching variables measured at each stage of the GXT identified significantly higher values on the NMT for V[Combining Dot Above]O2 83% of the time, HR 67% of the time, and RPE 25% of the time. Interestingly though, neither peak V[Combining Dot Above]O2 (48.6 ± 9.2 ml·kg·min−1 vs. 47.8 ± 8.9 ml·kg·min−1), peak HR (185 ± 9 b·min−1 vs. 188 ± 10 b·min−1; p = 0.90), nor VT (72.7 ± 5.7% vs. 73.8 ± 5.4%) were significantly different on the NMT vs. the MT. However, significant differences were identified between NMT and MT tests for time to exhaustion (9:55 ± 1:49 vs. 12:05 ± 2:48; p < 0.01) and peak speed (8.0 ± 0.9 mph vs. 9.2 ± 1.4 mph; p < 0.01). Thus, although peak values obtained were similar between testing sessions on the NMT and MT, the majority of submaximal data were significantly different between trials. These differences are important when designing exercise prescriptions using submaximal values from NMT testing that may be inappropriately high or low at corresponding intensities during training.

Automated gait temporal–spatial assessment from non-motorized treadmill belt speed data

Non-motorized treadmills (NMT) provide belt speed data that can be used to estimate work output, and potentially, gait temporal-spatial parameters that provide an improved understanding of gait performance. The purpose of this study was to determine the validity of an automated technique that uses belt speed data from an NMT to estimate temporal-spatial gait parameters. Seventeen injury-free adult participants performed a series of 20-s, metronome-guided walking and running trials for each of eight predetermined cadence conditions (72-200 steps/min). Two NMT-based cadence algorithms [PSD estimated cadence (PEC) and threshold estimated cadence (TEC)], and one NMT-based step length algorithm (NMT_SL) were evaluated for their ability to predict traditional motion analysis-based measures of cadence and step length (MAC and MA_SL, respectively). The results of this study demonstrate that both the PEC and TEC algorithms were capable of predicting MAC with a standard error of the estimate (SEE) less than four steps/min (R(2) = 0.997 and R(2) = 0.993, respectively). Predictions of MA_SL from NMT_SL were separated by gait type (walking vs. running) to account for an obvious separation in the step length data with a qualitative gait change. When applied to walking data, NMT_SL was capable of predicting MA_SL with an SEE of 23 mm (R(2) = 0.96). When applied to running data, NMT_SL was capable of predicting MA_SL with an SEE of 44 mm (R(2) = 0.80). The assessment of the novel technique suggests that it is feasible to use non-motorized treadmill belt speed data to predict gait events and analyze simple gait metrics. Future research should evaluate the applicability of these algorithms for use with participants/patients presenting with pathological gait.

Power, fatigue, and recovery changes in national collegiate athletic association division I hockey players across a competitive season.

Abstract Laurent, CM, Fullenkamp, AM, Morgan, AL, and Fischer, DA. Power, fatigue, and recovery changes in National Collegiate Athletic Association Division I hockey players across a competitive season. J Strength Cond Res 28(12): 3338–3345, 2014—This study aimed to evaluate changes in pre- to postseason power output, fatigue, and recovery during a repeated sprint test. Twenty National Collegiate Athletic Association Division I mens hockey athletes performed identical sessions of repeated sprint work pre- and postseason. The repeated sprint test consisted of 5 sets of 45 seconds of repeated sprint work with 90 seconds of rest in between each series of sprints. Power output (W), decrement, and recovery scores (RECs) were determined using raw data from a nonmotorized treadmill. Ratings of perceived exertion were recorded after, and perceived readiness (PR) recorded before, each series of sprints. Mean power was significantly higher in preseason vs. postseason performance during sprint 1 (760.6 vs. 691.3 W; p = 0.03), sprint 2 (719.9 vs 657.0 W; p = 0.05), sprint 4 (648.4 vs 588.9 W; p = 0.04), and sprint 5 (656.6 vs. 586.8 W, p = 0.04). Ratings of perceived exertion were significantly higher during sprints 3, 4, and 5 postseason with PR significantly higher (indicating less readiness) before sprints 3 and 4. There were no significant differences in REC or decrement score. Overall, athletes were unable to maintain power during subsequent repeated sprint work during postseason. The degree to which the athletes fatigued and recovered between sprints did not change between pre- and postseason testing, however, athletes exhibit increased perceptual strain during the repeated sprint work. These data indicate meaningful performance and perceptual differences throughout the competitive season in collegiate-level hockey players.

Placebo Effect: Influence on Repeated Intermittent Sprint Performance on Consecutive Days.

Abstract Tolusso, DV, Laurent, CM, Fullenkamp, AM, and Tobar, DA. Placebo effect: influence on repeated intermittent sprint performance on consecutive days. J Strength Cond Res 29(7): 1915–1924, 2015—Despite the available literature addressing the placebo effects role in mediating human performance, there is a paucity of research addressing the possibility of a placebo effect both within and between bouts of repeated sprint performance on consecutive days. Therefore, the purpose of this study was to determine whether the administration of a placebo influences recovery during sessions of intermittent sprinting. Ten subjects performed 4 repeated sprint tests under 2 different conditions; 2 while being administered a control beverage separated by 24 hours of recovery and the other 2 with a placebo beverage separated by 24 hours of recovery. Before each sprint test, subjects provided perceived recovery status (PRS). Ratings of perceived exertion were recorded within 5 seconds after each sprint. After each repeated sprint protocol, subjects were asked to provide a rating of perceived exertion (RPE), rate their pain, and provided a blood lactate sample. Power was recorded throughout each session from a nonmotorized treadmill to analyze changes in sprinting performance. Repeated-measures analysis of variance was used to determine significant differences in peak and mean power, PRS, RPE, pain, and blood lactate. The placebo trial produced significantly higher peak (p < 0.001) and mean power (p = 0.002) vs. the control in later sprints absent of any other significant difference in metabolic or perceptual strain (p > 0.05). In conclusion, it seems that the administration of a placebo can attenuate the decline in performance as fatigue increases during repeated sprinting bouts.

The Contribution of Trunk Axial Kinematics to Poststrike Ball Velocity During Maximal Instep Soccer Kicking.

To date, biomechanical analyses of soccer kicking have focused predominantly on lower-extremity motions, with little emphasis on the trunk and upper body. The purpose of this study was to evaluate differences in trunk axial kinematics between novice (n = 10) and skilled (n = 10) participants, as well as to establish the relationship of trunk axial motion and sagittal plane thigh rotation to poststrike ball velocity. Three-dimensional body segmental motion data were captured using high-resolution motion analysis (120 Hz) while each participant completed 5 maximal instep soccer-style kicks. The results demonstrate that skilled participants use 53% greater axial trunk range of motion compared with novice participants (P < .01), as well as 62% greater peak trunk rotation velocity (P < .01). The results also show a moderate, positive correlation of peak trunk rotation velocity with poststrike ball velocity (r = .57; P < .01), and peak hip flexion velocity with poststrike ball velocity (r = .63; P < .01). The current study highlights the potential for trunk rotation-specific training to improve maximum instep kick velocity in developing soccer athletes.

An Evaluation of Upper-Body Muscle Activation during Coupled and Uncoupled Instability Resistance Training.

Abstract Campbell, BM, Kutz, MR, Morgan, AL, Fullenkamp, AM, and Ballenger, R. An evaluation of upper-body muscle activation during coupled and uncoupled instability resistance training. J Strength Cond Res 28(7): 1833–1838, 2014—Recently, there has been a growth in the popularity of resistance exercises performed on unstable surfaces. However, the relationship between unstable surface training and load coupling on muscle activation is unclear. The purpose of this study was to evaluate changes in muscle activation during a barbell (BB) (coupled) and dumbbell (DB) (uncoupled) chest press exercise performed on an unstable surface. The 3 specific chest press conditions included 50% 1 repetition maximum (RM) with BB (50% BB), 50% 1RM with DBs (50% DB), and 25% 1RM with DBs (25% DB). Ten male subjects participated in the study (age, 23.9 ± 2.6 years; body weight, 82.8 ± 10.2 kg). During testing, mean electromyographic activity was assessed for pectoralis major (PM), triceps brachii, anterior deltoid (AD), and rectus abdominis (RA) and was presented as a percent change across the lifting conditions. It was observed that muscle activation increased by 15% in both the PM and RA from the 50% BB condition to the 50% DB condition. Also, the greatest percent difference in muscle activation between the 50 and 25% DB conditions occurred for PM and AD (+54% during 50% DB). These results suggest that demands on the core musculature to provide stability are increased with the use of DBs (uncoupled) as opposed to a BB (coupled). Where instability training provides a sufficient hypertrophy stimulus in prime mover muscle groups, there may be the added benefit of core stability training. Specifically, this type of training may benefit both untrained persons and those engaged in active rehabilitation.

A Comparison of Both Motorized and Nonmotorized Treadmill Gait Kinematics to Overground Locomotion

CONTEXT Motorized treadmills (MTs) present an altered motor task compared to overground (OG) locomotion in that MT belt surfaces are motor-driven, whereas individuals walking/running OG must propel themselves. A possible solution may lie with novel nonmotorized treadmill (NMT) devices as the belt surface is propelled by the user. OBJECTIVE The purpose of this study was to compare gait performance during both MT and NMT locomotion to OG. DESIGN Crossover study. SETTING A university research laboratory. PATIENTS A total of 20 healthy adults (10 women) participated in the study. INTERVENTION Each participant performed self-selected walking and running OG, and on both an MT and NMT. MAIN OUTCOME MEASURE Shoulder, trunk, and lower-extremity kinematics were analyzed for each treadmill condition and compared to OG. RESULTS The analyses demonstrated that there were no differences between MT and OG gait kinematics during either walking or running. However, NMT gait showed increased hip, knee, and ankle flexions in late swing and early stance compared to OG during both walking and running. For example, during walking, the NMT elicited hip-, knee-, and ankle-flexion/extension angles of 34.7°, 8.0°, and 3.6° at foot strike compared to 24.8°, -3.1°, and -5.8° in the OG condition (P < .05). There was also a significant reduction in trunk-flexion/extension range of motion during running compared to OG (7.7° in NMT vs 9.8° in OG). CONCLUSIONS These differences may have implications for both training and rehabilitation on an NMT. Future studies should consider the influence of NMT familiarization on gait performance and should emphasize the assessment of neuromuscular performance.