Jonathan Kenneth Sinclair

Effects of barefoot and barefoot inspired footwear on knee and ankle loading during running

BACKGROUND Recreational runners frequently suffer from chronic pathologies. The knee and ankle have been highlighted as common injury sites. Barefoot and barefoot inspired footwear have been cited as treatment modalities for running injuries as opposed to more conventional running shoes. This investigation examined knee and ankle loading in barefoot and barefoot inspired footwear in relation to conventional running shoes. METHOD Thirty recreational male runners underwent 3D running analysis at 4.0m·s(-1). Joint moments, patellofemoral contact force and pressure and Achilles tendon forces were compared between footwear. FINDINGS At the knee the results show that barefoot and barefoot inspired footwear were associated with significant reductions in patellofemoral kinetic parameters. The ankle kinetics indicate that barefoot and barefoot inspired footwear were associated with significant increases in Achilles tendon force compared to conventional shoes. INTERPRETATION Barefoot and barefoot inspired footwear may serve to reduce the incidence of knee injuries in runners although corresponding increases in Achilles tendon loading may induce an injury risk at this tendon.

The influence of barefoot and barefoot-inspired footwear on the kinetics and kinematics of running in comparison to conventional running shoes

Background: Barefoot running has been the subject of much attention in footwear biomechanics literature, based on the supposition that it serves to reduce the occurrence of overuse injuries in comparison to conventional shoe models. This consensus has led footwear manufacturers to develop shoes that aim to mimic the mechanics of barefoot locomotion. Objectives: This study compared the impact kinetics and three-dimensional (3-D) joint angular kinematics observed while running barefoot, in conventional cushioned running shoes and in shoes designed to integrate the perceived benefits of barefoot locomotion. The aim of the current investigation was therefore to determine whether differences in impact kinetics exist between the footwear conditions and whether shoes that aim to simulate barefoot movement patterns can closely mimic the 3-D kinematics of barefoot running. Method: Twelve participants ran at 4.0 m s−1 (±5%) in each footwear condition. Angular joint kinematics from the hip, knee and ankle in the sagittal, coronal and transverse planes were measured using an eight-camera motion analysis system. In addition, simultaneous tibial acceleration and ground reaction forces were obtained. Impact parameters and joint kinematics were subsequently compared using repeated-measures analyses of variance (ANOVAs). Results: The kinematic analysis indicated that, in comparison to the conventional and barefoot-inspired shoes, running barefoot was associated with significantly greater plantar–flexion at footstrike and range of motion to peak dorsiflexion. Furthermore, the kinetic analysis revealed that, compared to the conventional footwear, impact parameters were significantly greater in the barefoot condition. Conclusions: This study suggests that barefoot running is associated with impact kinetics linked to an increased risk of overuse injury when compared to conventional shod running. Furthermore, the mechanics of the shoes that aim to simulate barefoot movement patterns do not seem to closely mimic the kinematics of barefoot locomotion.

The effect of different durations of carbohydrate mouth rinse on cycling performance

Abstract Carbohydrate (CHO) mouth rinse has been shown to improve time trial performance. Although the exact mechanism remains un-established, research postulates that there are oral cavity receptors which increase neural drive. Increasing the duration of the mouth rinse could potentially increase stimulation of these receptors. The aim of the current investigation was to determine whether the duration of mouth rinse with 6.4% CHO affected 30-min self-selected cycling performance. Eleven male participants (age =24.1±3.9 years) performed three 30-min self-paced trials. On one occasion water was given as a mouth rinse for 5 s without being ingested placebo (PLA), on the other two occasions a 6.4% CHO solution was given for 5 and 10 s. Distance cycled, heart rate, ratings of perceived exertion, cadence, speed and power were recorded throughout all trials. The main findings were that distance cycled during the 10-s mouth rinse trial (20.4±2.3 km) was significantly greater compared to the PLA trial (19.2±2.2 km; P<0.01). There was no difference between the 5- and 10-s trials (P=0.15). However, 10 out of 11 participants cycled further during the 5-s trial compared to PLA, and eight cycled further during the 10-s trial compared to the 5 s. In conclusion, although there was an improvement in distance cycled with the 5-s mouth rinse compared to the PLA it was only significant with 10 s suggesting a dose response to the duration of mouth rinse.

Three-dimensional kinematic comparison of treadmill and overground running

The treadmill is an attractive device for the investigation of human locomotion, yet the extent to which lower limb kinematics differ from overground running remains a controversial topic. This study aimed to provide an extensive three-dimensional kinematic comparison of the lower extremities during overground and treadmill running. Twelve participants ran at 4.0 m/s ( ± 5%) in both treadmill and overground conditions. Angular kinematic parameters of the lower extremities during the stance phase were collected at 250 Hz using an eight-camera motion analysis system. Hip, knee, and ankle joint kinematics were quantified in the sagittal, coronal, and transverse planes, and contrasted using paired t-tests. Of the analysed parameters hip flexion at footstrike and ankle excursion to peak angle were found to be significantly reduced during treadmill running by 12° (p = 0.001) and 6.6° (p = 0.010), respectively. Treadmill running was found to be associated with significantly greater peak ankle eversion (by 6.3°, p = 0.006). It was concluded that the mechanics of treadmill running cannot be generalized to overground running.

Tibial shock measured during the fencing lunge: the influence of footwear

Fencing is a high-intensity sport involving dynamic movements such as the lunge exposing the musculoskeletal system to high impact forces, which emphasises the importance of the shock attenuating properties of footwear as a factor in the prevention of injury. The aim of this study was to investigate the magnitudes of the transient axial impact shock experienced at the tibia between traditional fencing shoes and standard athletic footwear during the impact phase of the fencing lunge. Peak tibial shock was measured in 19 male fencers in 4 different footwear conditions using an accelerometer placed on the distal aspect of the tibia. The standard footwear (11.08 g and 8.75 g for squash and running shoe, respectively) resulted in significant (p < 0.01) reductions in peak impact shock in comparison to the traditional fencing shoes (15.93 g and 13.97 g for the Adidas and Hi-Tec shoe, respectively). No significant differences were found between the running and squash shoes (p = 0.09) or between the fencing shoes (p = 0.48). The documented reduction in impact shock found suggests that running or squash specific footwear may reduce overuse injury occurrence, indicating that there is justification for a re-design of fencing shoes.

The Influence of Different Force and Pressure Measuring Transducers on Lower Extremity Kinematics Measured during Running

In running analyses where both kinetic and kinematic information is recorded, participants are required to make foot contact with a force and/or pressure measuring transducer. Problems arise if participants modify their gait patterns to ensure contact with the device. There is currently a paucity of research investigating the influence of different underfoot kinetic measuring devices on 3-dimensional kinematics of running. Fifteen participants ran at 4.0 m/s in four different conditions: over a floor embedded force plate, Footscan, Matscan, and with no device. Three-dimensional angular kinematic parameters were collected using an eight camera motion analysis system. Hip, knee, and ankle joint kinematics were contrasted using repeated-measures ANOVAs. Participants also rated their subjective comfort in striking each of the three force measuring devices. Significant differences from the uninhibited condition were observed using the Footscan and Matscan in all three planes of rotation, whereas participants subjectively rated the force plate significantly more comfortable than either the Footscan/Matscan devices. The findings of the current investigation therefore suggest that the disguised floor embedded force plate offers the most natural running condition. It is recommended that analyses using devices such as the Footscan/Matscan mats overlying the laboratory surface during running should be interpreted with caution.

Influence of the helical and six available Cardan sequences on 3D ankle joint kinematic parameters

Cardan/Euler and helical angles are the popular methods of quantifying angular kinematics. Cardan angles are sequence dependent and crosstalk can influence the kinematic calculations. The International Society of Biomechanics (ISB) recommends a sagittal, coronal, and then transverse (XYZ) sequence of rotations, although it has been proposed that when calculating rotations outside of the sagittal plane, this may not be the most appropriate method. This study investigated the influence of the helical and six available Cardan sequences on three-dimensional (3D) ankle joint kinematics. Kinematic data were obtained using an eight-camera motion analysis system as participants ran at 4.0 m/s ± 5%. Repeated measures ANOVAs were used to compare kinematic parameters, and intra-class correlations were employed to identify evidence of crosstalk across planes. The results indicate that in the transverse and coronal planes, peak angle and range of motion values using the YXZ and ZXY sequences were significantly greater than the other sequences. Furthermore, utilization of YXZ and ZXY sequences was associated with the strongest correlations from the sagittal plane, and the XYZ sequence was found to be associated with the lowest correlations. It appears that for the representation of 3D ankle joint kinematics, the XYZ sequence is associated with minimal planar crosstalk and as such its use is encouraged.

Digital Filtering of Three-Dimensional Lower Extremity Kinematics: an Assessment

Abstract Errors in kinematic data are referred to as noise and are an undesirable portion of any waveform. Noise is typically removed using a low-pass filter which removes the high frequency components of the signal. The selection of an optimal frequency cut-off is very important when processing kinematic information and a number of techniques exists for the determination of an optimal frequency cut-off. Despite the importance of cut-off frequency to the efficacy of kinematic analyses there is currently a paucity of research examining the influence of different cut-off frequencies on the resultant 3-D kinematic waveforms and discrete parameters. Twenty participants ran at 4.0 m•s-1 as lower extremity kinematics in the sagittal, coronal and transverse planes were measured using an eight camera motion analysis system. The data were filtered at a range of cut-off frequencies and the discrete kinematic parameters were examined using repeated measures ANOVA’s. The similarity between the raw and filtered waveforms were examined using intra-class correlations. The results show that the cut-off frequency has a significant influence on the discrete kinematic measure across displacement and derivative information in all three planes of rotation. Furthermore, it was also revealed that as the cut-off frequency decreased the attenuation of the kinematic waveforms became more pronounced, particularly in the coronal and transverse planes at the second derivative. In conclusion, this investigation provides new information regarding the influence of digital filtering on lower extremity kinematics and re-emphasizes the importance of selecting the correct cut-off frequency.

A comparison of several barefoot inspired footwear models in relation to barefoot and conventional running footwear

This study examined differences in kinetics and kinematics between barefoot and shod running, as well as between several barefoot inspired footwear models. Fifteen participants ran at 4.0 m/s ±5% in each footwear condition. Lower extremity kinematics in the sagittal, coronal and transverse planes were measured using an eight camera motion analysis system alongside ground reaction force parameters. Impact parameters and joint kinematics were subsequently compared using repeated measures ANOVAs. The kinetic analysis revealed that, compared to the conventional footwear, impact parameters were significantly greater in the barefoot and more minimal in barefoot inspired footwear. Running barefoot and in the minimal barefoot inspired footwear was associated with increases in flexion parameters of the knee and ankle at footstrike in relation to the conventional footwear. Finally, the results indicated that the barefoot and minimal barefoot inspired footwear were associated with greater peak eversion magnitude whe...

Sex differences in knee loading in recreational runners

Patellofemoral pain is the most common chronic pathology in recreational runners. Female runners are at greater risk of developing patellofemoral pain, although the exact mechanism behind this is not fully understood. This study aimed to determine whether female recreational runners exhibit distinct knee loading compared to males. Fifteen males and 15 females recreational runners underwent 3D running analysis at 4.0 ms(-1)±5%. Sagittal/coronal joint moments, patellofemoral contact forces (PTF) and pressures (PCP) were compared between sexes. The results show that females exhibited significantly greater knee extension (p<0.008, pη(2)=0.27: males=3.04; females=3.47 N m kg(-1)) and abduction (p<0.008, pη(2)=0.28: males=0.54; females=0.82 N m kg(-1)) moments as well as PTF (p<0.008, pη(2)=0.29: males=3.25; females=3.84 B.W.) and PCP (p<0.008, pη(2)=0.26: males=7.96; females=9.27 MPa) compared to males. Given the proposed relationship between knee joint loading and patellofemoral pathology, the current investigation provides insight into the incidence of patellofemoral pain in females.