Songning Zhang

Acute effects of barefoot, minimal shoes and running shoes on lower limb mechanics in rear and forefoot strike runners

Barefoot or minimal footwear running is currently a highly debated topic among runners and researchers. Several footwear companies have developed minimal running footwear to simulate barefoot running but few studies have compared minimal footwear to barefoot and shoes during running. The primary goal of this study was to compare acute changes in three-dimensional (3D) ground reaction forces (GRFs) and lower limb kinematics and kinetics of habitually shod rearfoot strike (RFS) and forefoot strike (FFS) runners between minimal shoes (MSH), barefoot and neutral cushion running shoes (SH). Lower extremity joint biomechanical variables of RFS and FFS runners were analysed using a 3D motion capture system and a force platform during overground running in barefoot, MSH and running shoes. Barefoot and MSH showed a more anterior foot strike than shoes. The loading rate of the impact peak GRF was greater in barefoot and MSH than in shoes. MSH showed greater ankle plantarflexor moment and negative power in early stance compared to shoes, which indicates greater eccentric plantarflexor muscle involvement in MSH than in shoes. Running shoes had greater peak knee extensor moment, early stance eccentric knee power and late stance concentric knee power compared to MSH and barefoot indicating less knee joint involvement. The current findings only pertain to acute changes between shoe conditions, and therefore training interventions in minimal footwear are warranted to further understand the adaptation effects of shod to barefoot or RFS to FFS running on lower limb biomechanics and running performance.

Shock and impact reduction in moderate and strenuous landing activities

Shock reduction has been well studied in moderate activities such as walking and running. However, there is a clear lack of research concerning shock wave transmission and reduction in more strenuous landing activities. In this study, we examined the impact of shock transmission and reduction in landing activities with varied mechanical demands. Ten active males were recruited for the study. They performed five successful step-off landing trials from each of five heights: 30, 45, 60, 75, and 90 cm. Right sagittal kinematics, ground reaction forces, and acceleration were recorded simultaneously. Impact frequencies were analysed using a discrete Fast Fourier Transform and power spectral density was computed. Increased range of motion for the ankle, knee, and hip joints was observed at higher landing heights. The peaks of the vertical ground reaction force, forehead and tibial accelerations, and eccentric muscle work by lower extremity joints were increased with increased landing heights. The peak head power spectral density was severely attenuated at higher frequencies but the peak tibia power spectral density did not demonstrate this trend. Shock reduction showed increased reduction at higher frequencies, but minimal changes across five landing heights. Unlike the responses observed for walking and running, the shock reduction did not show significant improvement with elevated mechanical demands.

The influence of body mass index and velocity on knee biomechanics during walking.

Obesity has been associated with both the development and progression of knee osteoarthritis. Being overweight or obese from a young age is likely to decrease the age of onset for co-morbidities of obesity such as osteoarthritis. However, research on osteoarthritis has thus far focused on older adults. Therefore, the purpose of this study was to determine whether young adults who are overweight or obese exhibit biomechanical risk factors for knee osteoarthritis at either their preferred walking velocity or at 1m/s, which was slower than the preferred velocity. Thirty healthy young adults formed three equal groups according to body mass index. Three dimensional kinetics and kinematics were collected while participants walked overground at both velocities. Joint moments were normalized to fat free weight and height. The preferred walking velocity of obese participants was slower than that of normal weight individuals. There were no differences in knee flexion excursion, peak knee flexion angle, normalized peak knee flexion moment or normalized peak knee adduction moment among groups. Obese participants walked with lower peak knee adduction angle than both overweight and normal body mass index participants and several shifted towards knee abduction. All groups had smaller knee flexion excursion, peak knee flexion angle, peak knee flexion moment and peak knee adduction moment at 1m/s compared to preferred walking velocity. Overall, young and otherwise healthy overweight and obese participants have knee biomechanics during gait at preferred and slow walking velocities that are comparable to normal weight adults.

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.

Simple verbal instruction improves knee biomechanics during landing in female athletes

Knee injuries are highly prevalent in athletic populations, particularly among female athletes. Many of these injuries occur during landing from a jump. Various comprehensive knee injury prevention programs have been developed to date. However, there is a need to determine which components of these programs contribute directly to changes in knee biomechanics. Therefore, the purpose of this study was to investigate the immediate effect of three different simple verbal instructions on knee biomechanics during landing in adult female recreational athletes. Three-dimensional kinematic and kinetic analysis of landing from a countermovement jump was conducted in a counterbalanced cross-over repeated measures design. Results indicated that the instruction to land with equal weight distribution reduced the asymmetry of peak vertical ground reaction force compared to the control condition. The instruction to land softly reduced peak vertical ground reaction force and increased peak knee flexion compared to the control condition. The instruction to land with knees over toes increased peak knee flexion compared to the control condition. These findings indicate that verbal instruction may be a key component of the effects seen in previous research studies that have investigated the benefits of more complex training programs designed to reduce knee injury risk in female athletes.

Effects of local elastic compression on muscle strength, electromyographic, and mechanomyographic responses in the lower extremity

The purpose of this study was to investigate the effect of elastic compression on muscle strength, electromyographic (EMG), and mechanomyographic (MMG) responses of quadriceps femoris during isometric and isokinetic contractions. Twelve participants performed 5s isometric maximal voluntary contractions (MVC) and 25 consecutive and maximal isokinetic knee extensions at 60 and 300°/s with no (control, CC), medium (MC), and high (HC) compression applied to the muscle. The EMG and MMG signals were collected simultaneously with muscle isometric and isokinetic strength data. The results showed that the elevated compression did not improve peak torque, peak power, average power, total work, and regression of torque in the isometric and isokinetic contractions. However, the root mean squared value of EMG in both HC and MC significantly decreased compared with CC at 60 and 300°/s (p<0.01). Furthermore, the EMG mean power frequency in HC was significantly higher than that in CC at 60°/s (p<0.05) whereas no significant compression effect was found in the MMG mean power frequency. These findings provide preliminary evidence suggesting that the increase in local compression pressure may effectively increase muscle efficiency and this might be beneficial in reducing muscle fatigue during concentric isokinetic muscle contractions.

Efficacy of an Ankle Brace With a Subtalar Locking System in Inversion Control in Dynamic Movements

STUDY DESIGN Controlled laboratory study. OBJECTIVES To examine effectiveness of an ankle brace with a subtalar locking system in restricting ankle inversion during passive and dynamic movements. BACKGROUND Semirigid ankle braces are considered more effective in restricting ankle inversion than other types of brace, but a semirigid brace with a subtalar locking system may be even more effective. METHODS Nineteen healthy subjects with no history of major lower extremity injuries were included in the study. Participants performed 5 trials of an ankle inversion drop test and a lateral-cutting movement without wearing a brace and while wearing either the Element (with the subtalar locking system), a Functional ankle brace, or an ASO ankle brace. A 2-way repeated-measures analysis of variance (ANOVA) was used to assess brace differences (P?.05). RESULTS All 3 braces significantly reduced total passive ankle frontal plane range of motion (ROM), with the Element ankle brace being the most effective. For the inversion drop the results showed significant reductions in peak ankle inversion angle and inversion ROM for all 3 braces compared to the no brace condition; and the peak inversion velocity was also reduced for the Element brace and the Functional brace. In the lateral-cutting movement, a small but significant reduction of the peak inversion angle in early foot contact and the peak eversion velocity at push-off were seen when wearing the Element and the Functional ankle braces compared to the no brace condition. Peak vertical ground reaction force was reduced for the Element brace compared to the ASO brace and the no brace conditions. CONCLUSIONS These results suggest that the tested ankle braces, especially the Element brace, provided effective restriction of ankle inversion during both passive and dynamic movements.

Effects of increased step width on frontal plane knee biomechanics in healthy older adults during stair descent.

BACKGROUND Peak internal knee abduction moment is a common surrogate variable associated with medial compartment knee loading. Stair descent has been shown to yield a greater peak knee abduction moment compared to level-walking. Changes in step width (SW) may lead to changes in frontal plane lower extremity limb alignment in the frontal plane and alter peak knee abduction moment. The purpose of this study was to investigate the effects of increased SW on frontal plane knee biomechanics during stair descent in healthy older adults. METHODS Twenty healthy adults were recruited for the study. A motion analysis system was used to obtain three-dimensional lower limb kinematics during testing. An instrumented 3-step staircase with two additional customized wooden steps was used to collect ground reaction forces (GRF) data during stair descent trials. Participants performed five stair descent trials at their self-selected speed using preferred, wide (26% leg length), and wider (39% leg length) SW. RESULTS The preferred normalized SW in older adults during stair descent was 20% of leg length. Wide and wider SW during stair descent reduced both first and second peak knee adduction angles and abduction moments compared to preferred SW in healthy adults. CONCLUSIONS Increased SW reduced peak knee adduction angles and abduction moments. The reductions in knee abduction moments may have implications in reducing medial compartment knee loads during stair descent.

Stair ambulation biomechanics following total knee arthroplasty: a systematic review.

The purpose of this review was to summarize the biomechanical adaptations during stair ambulation that occur after total knee arthroplasty (TKA). Articles were identified by searching PubMed and Web of Science. During stair ascent, knee flexion angle at heel strike and walking velocity were reduced in TKA subjects compared to controls. Results of other variables were not consistent between studies. During stair descent only one study found any differences for knee moments in the sagittal and frontal plane between TKA subjects and controls. Other results during stair descent were not consistent between studies. Differences in methods can partially explain discrepancies between studies in this review. More studies with consistent and improved methods are needed in order to provide better understanding of stair ambulation following TKA.

Effects of Footwear on Impact Forces and Soft Tissue Vibrations during Drop Jumps and Unanticipated Drop Landings

The purpose of this study was to explore the footwear effects on impact forces and soft-tissue vibrations during landing. 12 male basketball players were instructed to perform drop jumps and unanticipated drop landings from 30 cm, 45 cm, and 60 cm heights in basketball shoes (BS) and control shoes (CS). 3D kinematics, ground reaction force (GRF), and soft-tissue vibrations of the leg, and acceleration of the shoe heel counter were measured simultaneously. The results showed no significant shoe effect on the characteristics of the impact force nor on the resonance frequency and peak transmissibility of soft-tissue vibrations during the impact phase of the drop jump. For the unanticipated drop landings, however, the magnitude of both peak GRF and peak loading rate were significantly lower with BS compared to CS across all 3 heights (p<0.05); meanwhile BS showed a significant decrease in GRF frequency compared to CS at 45 cm (p<0.05) and 60 cm (p<0.01) heights. Furthermore, the peak transmissibility in BS was significantly lower than that in CS for both the quadriceps and hamstrings during the 60 cm unanticipated drop landing (p<0.05). These findings provide preliminary evidence suggesting that if the neuromuscular system fails to prepare properly for an impact during landing, a shoe intervention may be an effective method for minimizing impact force and reducing soft tissue resonance.