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Introduction: Perturbation-based balance training (PBT) is promising for fall prevention in older adults, mimicking real-life fall situations at a person's stability thresholds to improve reactive balance. Hence, it can be associated with anxiety, but knowledge about the acceptability of PBT is scarce. Method: This is a secondary analysis of a randomized controlled trial comparing the effects of two different PBT paradigms that aims to evaluate and compare the acceptability of those training paradigms in fall-prone older adults. Participants (74.9 ± 5.7 years) who completed the training (6 weeks, 3x/week) on either a perturbation treadmill (PBTtreadmill: n = 22) or unstable surfaces in the presence of perturbations (PBTstability: n = 27) were surveyed on the acceptability of PBT using a 21-item questionnaire addressing seven domains (perceived effectiveness, tailoring, demand, safety, burden, devices, affective attitude), based on the theoretical framework of acceptability and context-specific factors. Relative scores (% of absolute maximum) for single items and domains were calculated. Results: Median domain scores of perceived effectiveness, tailoring, safety, devices, and affective attitude were all ≥70% for both paradigms. The highest scores were obtained for tailoring (both paradigms = 100% [interquartile range 80–100%]). Domain scores of demand and burden were in the medium range (40–45%) for both paradigms. No significant differences between paradigms were found for any domain score. Two single items of safety differed significantly, with PBTtreadmill perceived as needing less support (p = 0.015) and leading less often to balance loss (p = 0.026) than PBTstability. Conclusion: PBT conducted on a perturbation treadmill or unstable surfaces is well accepted in this fall-prone older sample, even though it is conducted at individual stability thresholds. Tailoring may play a key role in achieving high levels of perceived effectiveness, appropriate levels of demand and burden, and a high sense of safety. PBT delivered on treadmills might be more appropriate for more anxious persons. [ABSTRACT FROM AUTHOR]

This study aimed to examine the temporal dynamics of muscle–tendon adaptation and whether differences between their sensitivity to mechano‐metabolic stimuli would lead to non‐uniform changes within the triceps surae (TS) muscle–tendon unit (MTU). Twelve young adults completed a 12‐week training intervention of unilateral isometric cyclic plantarflexion contractions at 80% of maximal voluntary contraction until failure to induce a high TS activity and hence metabolic stress. Each participant trained one limb at a short (plantarflexed position, 115°: PF) and the other at a long (dorsiflexed position, 85°: DF) MTU length to vary the mechanical load. MTU mechanical, morphological, and material properties were assessed biweekly via simultaneous ultrasonography–dynamometry and magnetic resonance imaging. Our hypothesis that tendon would be more sensitive to the operating magnitude of tendon strain but less to metabolic stress exercise was confirmed as tendon stiffness, Young's modulus, and tendon size were only increased in the DF condition following the intervention. The PF leg demonstrated a continuous increment in maximal AT strain (i.e., higher mechanical demand) over time along with lack of adaptation in its biomechanical properties. The premise that skeletal muscle adapts at a higher rate than tendon and does not require high mechanical load to hypertrophy or increase its force potential during exercise was verified as the adaptive changes in morphological and mechanical properties of the muscle did not differ between DF and PF. Such differences in muscle–tendon sensitivity to mechano‐metabolic stimuli may temporarily increase MTU imbalances that could have implications for the risk of tendon overuse injury. [ABSTRACT FROM AUTHOR]

Considering their potential relevance for low‐back pain, we investigated trunk muscle strength, sagittal lumbo‐pelvic alignment while standing and lumbo‐pelvic ratio during trunk flexion in adolescent athletes with regard to the effects of age and sex. Twenty‐two early adolescent (EA: 13‐15 years, 10 females) and 28 late adolescent (LA: 16‐19 years, 14 females) high‐level athletes (training duration more than 12 hours per week) participated in the study. We measured trunk extension and trunk flexion moments during maximum voluntary isometric contractions using a dynamometer. Further, we examined lumbo‐pelvic kinematics in the upright standing position and during forward trunk bending using two 3‐dimensional accelerometers. Using a lineal regression model in which the flexion moment from each participant was used as predictor for the corresponding extension moment, we found higher residuals (P < 0.001) in the EA compared to LA, indicating greater imbalances in the trunk muscle strength in EA. We found a higher lordosis in the upright position, greater pelvic rotation, and greater lordotic posture during the forward bending in females (P < 0.01). These age‐related imbalances and sex‐related characteristics in lumbo‐pelvic kinematics might affect the neuromuscular control of trunk stability and the magnitude of spine loading. We recommend the implementation of specific coordination and stabilization programs for muscle groups that contribute to lumbo‐pelvic kinematics and training routines that support a balanced strength development within the trunk muscles in adolescent athletes. [ABSTRACT FROM AUTHOR]

Purpose Physical and hormonal changes during pregnancy are thought to affect balance and injury risk, with increased numbers of falls being reported. A maternity support belt (MSB) has been suggested to stabilize the pelvis and to enhance balance. The purpose of this study was therefore to investigate the effect of an MSB on postural stability in different trimesters of pregnancy. Methods Postural stability was assessed in the first (T1, n = 30), second (T2, n = 30) and third trimester (T3, n = 30) of pregnancy and compared to non-pregnant controls (n = 30), using a portable force plate. Postural sway during quiescent standing with and without applying an MSB was characterized by analyzing path length, velocity, amplitudes and area. Subsequently, anterior and posterior limits of stability (LoS) were determined. Results Postural sway during quiescent standing did not change with pregnancy. However, LoS performance was reduced already in T1, before body mass significantly increased. The MSB led to a small improvement in the LoS while slightly increasing postural sway in anterior-posterior direction and shifting the center of pressure posteriorly during quiescent standing. Conclusion While impairments in balance already occurred early in pregnancy before body mass significantly increased, they were subtle and only measurable in exacerbated conditions. This challenges the assumed necessity of balance enhancing interventions in pregnant women. Although the MSB significantly affected body posture, the magnitude of the LoS improvement using the MSB was very small. Thus, it remains debatable if the MSB is a meaningful tool to increase balance during pregnancy. [ABSTRACT FROM AUTHOR]

The purpose of the study was to assess the effectiveness of a specific rehabilitation therapy for chronic non-specific low-back pain patients, based on a random/irregular functional perturbation training induced by force disturbances to the spine. Forty patients (20 controls and 20 in the perturbation-based group) finished the whole experimental design. A random-perturbation exercise, which included variable and unpredictable disturbances, was implemented in the therapy of the perturbation-based group (13 weeks, two times per week and 1.5 h per session). The participants of the control group did not receive any specific training. Low-back pain, muscle strength, and neuromuscular control of spine stability were investigated before and after the therapy using the visual analog scale, maximal isometric and isokinetic contractions, nonlinear time series analysis, and by determining the stiffness and damping of the trunk after sudden perturbations. The perturbation-based therapy reduced patient's low-back pain (35%), increased muscle strength (15-22%), and trunk stiffness (13%), while no significant changes were observed in the control group. It can be concluded that the proposed therapy has the potential to enhance trunk muscle capability as well as sensory information processing within the motor system during sudden loading and, as a consequence, improve the stabilization of the trunk. [ABSTRACT FROM AUTHOR]

Introduction: There is increasing evidence that perturbation-based balance training (PBT) is highly effective in preventing falls at older age. Different PBT paradigms have been presented so far, yet a systematic comparison of PBT approaches with respect to feasibility and effectiveness is missing. Two different paradigms of PBT seem to be promising for clinical implementation: (1) technology-supported training on a perturbation treadmill (PBTtreadmill); (2) training of dynamic stability mechanisms in the presence of perturbations induced by unstable surfaces (PBTstability). This study aimed to compare both program's feasibility and effectiveness in fall-prone older adults. Methods: In this three-armed randomized controlled trial, seventy-one older adults (74.9 ± 6.0 years) with a verified fall risk were randomly assigned into three groups: PBTtreadmill on a motorized treadmill, PBTstability using unstable conditions such as balance pads, and a passive control group (CG). In both intervention groups, participants conducted a 6-week intervention with 3 sessions per week. Effects were assessed in fall risk (Brief-BEST), balance ability (Stepping Threshold Test, center of pressure, limits of stability), leg strength capacity, functional performance (Timed Up and Go Test, Chair-Stand), gait (preferred walking speed), and fear of falling (Short FES-I). Results: Fifty-one participants completed the study. Training adherence was 91% for PBTtreadmill and 87% for PBTstability, while no severe adverse events occurred. An analysis of covariance with an intention-to-treat approach revealed statistically significant group effects in favor of PBTstability in the Brief-BEST (p = 0.009, η2 = 0.131) and the limits of stability (p = 0.020, η2 = 0.110) and in favor of PBTtreadmill in the Stepping Threshold Test (p < 0.001, η2 = 0.395). The other outcomes demonstrated no significant group effects. Conclusion: Both training paradigms demonstrated high feasibility and were effective in improving specific motor performances in the fall-prone population and these effects were task specific. PBTtreadmill showed higher improvements in reactive balance, which might have been promoted by the unpredictable nature of the included perturbations and the similarity to the tested surface perturbation paradigm. PBTstability showed more wide-ranging effects on balance ability. Consequently, both paradigms improved fall risk-associated measures. The advantages of both formats should be evaluated in light of individual needs and preferences. Larger studies are needed to investigate the effects of these paradigms on real-life fall rates. [ABSTRACT FROM AUTHOR]

Background: As inter-limb asymmetries can be associated with higher injury risk, we aimed to investigate their role in Achilles tendinopathy patients. Methods: In Achilles tendinopathy patients (n = 41), we assessed inter-limb asymmetries of mechanical, material, and morphological musculoskeletal properties and function and how those were affected by 12 weeks of exercise intervention (high-load protocol, n = 13; Alfredson protocol, n = 11). Moreover, we assessed whether asymmetry reductions correlated with improved Patient-Reported Outcomes (VISA-A score). Results: At baseline, tendinopathic tendons demonstrated lower tendon force (p = 0.017), lower tendon stress (p < 0.0001), larger tendon cross-sectional area (CSA) (p < 0.001), and increased intratendinous (p = 0.042) and tendon overall (p = 0.021) vascularization. For the high-load group, PRE-to-POST asymmetry comparisons revealed an asymmetry increase for the counter-movement jump (CMJ) (p = 0.034) and PRE-to-POST VISA-A score improvements correlated with CSA asymmetry reductions (p = 0.024). Within the Alfredson group, PRE-to-POST VISA-A score improvements correlated with CMJ asymmetry reductions (p = 0.044) and tendon stiffness asymmetry increases (p = 0.037). POST-to-POST in-between group comparisons revealed lower asymmetry in the high-load group for tendon elongation (p = 0.021) and tendon strain (p = 0.026). Conclusions: The tendinopathic limb differs from the asymptomatic limb while therapeutic exercise interventions have little effect on asymmetries. Asymmetry reductions are not necessarily associated with tendon health improvements. [ABSTRACT FROM AUTHOR]

The purpose of the present study was to investigate whether increased tendon-aponeurosis stiffness and contractile strength of the triceps surae (TS) muscle-tendon units induced by resistance training would affect running economy. Therefore, an exercise group (EG, n = 13) performed a 14-week exercise program, while the control group (CG, n = 13) did not change their training. Maximum isometric voluntary contractile strength and TS tendon-aponeurosis stiffness, running kinematics and fascicle length of the gastrocnemius medialis (GM) muscle during running were analyzed. Furthermore, running economy was determined by measuring the rate of oxygen consumption at two running velocities (3.0, 3.5 ms). The intervention resulted in a ∼7 % increase in maximum plantarflexion muscle strength and a ∼16 % increase in TS tendon-aponeurosis stiffness. The EG showed a significant ∼4 % reduction in the rate of oxygen consumption and energy cost, indicating a significant increase in running economy, while the CG showed no changes. Neither kinematics nor fascicle length and elongation of the series-elastic element (SEE) during running were affected by the intervention. The unaffected SEE elongation of the GM during the stance phase of running, in spite of a higher tendon-aponeurosis stiffness, is indicative of greater energy storage and return and a redistribution of muscular output within the lower extremities while running after the intervention, which might explain the improved running economy. [ABSTRACT FROM AUTHOR]

Abstract: The purpose of this study was to examine the effect of the timing of the pole plant during the stance phase of the jump on the energy level of the vaulter/pole system at take-off for a special pole vault take-off exercise (Jagodin). We hypothesised that an earlier pole plant would increase the pole energy at take-off compared to the energy decrease of the vaulter during the jump and plant complex and so lead to a higher total energy of the vaulter/pole system at take-off. Six male pole vaulters experienced three Jagodins each with different pole plant time building three groups of vaults (early, intermediate, late pole plant). Kinematic data of vaulter and pole were recorded, as were ground reaction forces measured at the end of the pole under the planting box and under the take-off foot. These measurements allowed the energy exchange between the vaulter and pole to be determined. We found neither statistical significant differences in the mechanical energy level of the vaulter/pole system during take-off between the three groups nor a relationship between the timing of the pole plant and the energy level of the vaulter–pole system during take-off. We conclude that although the timing of the pole plant influences the interactions between the vaulter, the pole, and the ground, it does not affect the athlete''s performance. Although a late pole plant decreases the loss of energy by the vaulter during the take-off, this is counterbalanced by a decrease in the energy stored in the pole at take-off. [Copyright &y& Elsevier]

Abstract: The aim of the study was to examine the external knee adduction moments in a group of older and younger adults while descending stairs and thus the possibility of an increased risk of knee osteoarthritis due to altered knee joint loading in the elderly. Twenty-seven older and 16 younger adults descended a purpose-built staircase. A motion capture system and a force plate were used to determine the subjects’ 3D kinematics and ground reaction forces (GRF) during locomotion. Calculation of the leg kinematics and kinetics was done by means of a rigid, three-segment, 3D leg model. In the initial portion of the support phase, older adults showed a more medio-posterior GRF vector relative to the ankle joint, leading to lower ankle joint moments (P<0.05). At the knee, the older adults demonstrated a more medio-posterior directed GRF vector, increasing in knee flexion and adduction in the second part of the single support phase (P<0.05). Further, GRF magnitude was lower in the initial and higher in the mid-portions of the support phase for the elderly (P<0.05). The results show that older adults descend stairs by using the trailing leg before the initiation of the double support phase more compared to the younger ones. The consequence of this altered control strategy while stepping down is a more medially directed GRF vector increasing the magnitude of external knee adduction moment in the elderly. The observed changes between leading and trailing leg in the elderly may cause a redistribution of the mechanical load at the tibiofemoral joint, affecting the initiation and progression of knee osteoarthritis in the elderly. [Copyright &y& Elsevier]

Abstract: Old adults show a decreased recovery performance compared to young ones after unexpected perturbations increasing the risk of falls. Therefore, the purpose of the present study was to examine the effect of a specific training of mechanisms responsible for dynamic stability on the recovery performance of old adults after simulated forward falls and the contribution of muscle strength exercise. 38 old adults (two experimental groups each n=13 and a control group, n=12) participated in the study. Group 1 exercised the mechanisms responsible for dynamic stability like increase in base of support and counter-rotating segments around the centre of mass by practicing specific tasks including these mechanisms. Group 2 exercised these mechanisms of dynamic stability and muscle strength. The exercise volume was equal in both interventions (14 weeks, two times per week and ∼1.5h per session). Stability performance has been examined by simulated forward falls before and after the intervention. The two experimental groups improved in a similar extent (∼35%) their ability to regain balance during forward falls after the intervention. The reason was a faster increase in base of support. Further, the performance enhancement was related to an increase in the rate of hip moment generation. Exercising the mechanisms responsible for dynamic stability control in old adults affects their ability to regain balance after forward falls. A faster utilization of these mechanisms due to improved neuromuscular coordination resulted in the significant performance enhancement. [ABSTRACT FROM AUTHOR]

Abstract: The purpose of the current study in combination with our previous published data () was to examine the effects of a controlled modulation of strain magnitude and strain frequency applied to the Achilles tendon on the plasticity of tendon mechanical and morphological properties. Eleven male adults (23.9±2.2yr) participated in the study. The participants exercised one leg at low magnitude tendon strain (2.97±0.47%), and the other leg at high tendon strain magnitude (4.72±1.08%) of similar frequency (0.5Hz, 1s loading, 1s relaxation) and exercise volume (integral of the plantar flexion moment over time) for 14 weeks, 4 days per week, 5 sets per session. The exercise volume was similar to the intervention of our earlier study (0.17Hz frequency; 3s loading, 3s relaxation) allowing a direct comparison of the results. Before and after the intervention ankle joint moment has been measured by a dynamometer, tendon–aponeurosis elongation by ultrasound and cross-sectional area of the Achilles tendon by magnet resonance images (MRI). We found a decrease in strain at a given tendon force, an increase in tendon–aponeurosis stiffness and tendon elastic modulus of the Achilles tendon only in the leg exercised at high strain magnitude. The cross-sectional area (CSA) of the Achilles tendon did not show any statistically significant (P>0.05) differences to the pre-exercise values in both legs. The results indicate a superior improvement in tendon properties (stiffness, elastic modulus and CSA) at the low frequency (0.17Hz) compared to the high strain frequency (0.5Hz) protocol. These findings provide evidence that the strain magnitude applied to the Achilles tendon should exceed the value, which occurs during habitual activities to trigger adaptational effects and that higher tendon strain duration per contraction leads to superior tendon adaptational responses. [ABSTRACT FROM AUTHOR]

Abstract: The objective of the study was to investigate the adjustment of running mechanics by wearing five different types of running shoes on tartan compared to barefoot running on grass focusing on the gearing at the ankle and knee joints. The gear ratio, defined as the ratio of the moment arm of the ground reaction force (GRF) to the moment arm of the counteracting muscle tendon unit, is considered to be an indicator of joint loading and mechanical efficiency. Lower extremity kinematics and kinetics of 14 healthy volunteers were quantified three dimensionally and compared between running in shoes on tartan and barefoot on grass. Results showed no differences for the gear ratios and resultant joint moments for the ankle and knee joints across the five different shoes, but showed that wearing running shoes affects the gearing at the ankle and knee joints due to changes in the moment arm of the GRF. During barefoot running the ankle joint showed a higher gear ratio in early stance and a lower ratio in the late stance, while the gear ratio at the knee joint was lower during midstance compared to shod running. Because the moment arms of the counteracting muscle tendon units did not change, the determinants of the gear ratios were the moment arms of the GRF''s. The results imply higher mechanical stress in shod running for the knee joint structures during midstance but also indicate an improved mechanical advantage in force generation for the ankle extensors during the push-off phase. [Copyright &y& Elsevier]

Abstract: The purpose of this study was to examine the moment generation of the human plantar flexors and the architecture of the gastrocnemius medialis muscle during and after shortening–stretch cycles in vivo. Fourteen male subjects (30±7years, 177±7cm, 80±9kg) performed a series of electro-stimulated shortening–stretch plantar flexion contractions. The shortening–stretch cycles were performed at three constant angular velocities (25°/s, 50°/s, 100°/s), two amplitudes (15° and 25° ankle angle changes) and at two different stimulation frequencies (30Hz and 85Hz). The resultant ankle joint moments were calculated through inverse dynamics. Pennation angle and fascicle length of the m. gastrocnemius medialis at rest and during contractions were measured using ultrasonography. The corresponding ankle moments, kinematics and changes in muscle architecture were analysed at seven time intervals. A three-way analysis of variance (amplitude×velocity×stimulation frequency) and post-hoc test with Bonferroni correction were used to check the amplitude, velocity and stimulation level related effects on moment enhancement (α =0.05). The results show an ankle joint moment enhancement after shortening–stretch cycles influenced by muscle architectural changes. We found 2–3% isometric ankle joint moment enhancement at steady state, 1.5–2.0s after the shortening–stretch cycle. However, the observed alteration in muscle architecture after the imposed perturbation, could lead to an underestimation (1–3%) of joint moment enhancement due to the force–length relationship of the triceps surae. Furthermore, the enhancement observed was independent of the shortening–stretch amplitude, velocity and stimulation frequency. [Copyright &y& Elsevier]

Abstract: The purpose of the work was to determine whether the age-related muscle weakness diminishes older adults’ ability to use mechanisms responsible for maintaining dynamic stability after forward falls. Nine older and nine younger adults participated in this study. To analyse the capacities of the leg-extensor muscle–tendon units, all subjects performed isometric maximal voluntary plantarflexion and knee extension contractions on a dynamometer. The elongation of the gastrocnemius medialis and the vastus lateralis tendon and aponeuroses during isometric contraction was examined by ultrasonography. Recovery behaviour was determined after a sudden fall from two forward-inclined lean angles. Compared to older adults, younger adults had higher muscle strength and tendon stiffness. Younger adults created a higher margin of stability compared to older, independent of perturbation intensity. The main mechanism improving the margin of dynamic stability was the increase of the base of support. The results, further, demonstrated that the locomotion strategy employed before touchdown affects the stability of the stance phase and that muscle strength and tendon stiffness contributed significantly to stability control. We concluded that, to reduce the risk of falls, older individuals may benefit from muscle–tendon unit strengthening programs as well as from interventions exercising the mechanisms responsible for dynamic stability. [Copyright &y& Elsevier]

Abstract: The purpose of this study was to examine the influence of different shortening velocities preceding the stretch on moment generation of the triceps surae muscles and architecture of the m. gastrocnemius medialis after shortening–stretch cycles of equal magnitude in vivo. Eleven male subjects (31.6±5.8 years, 178.4±7.3cm, 80.6±9.6kg) performed a series of electro-stimulated (85Hz) shortening–stretch plantar flexion contractions. The shortening–stretch cycles were performed at three constant angular velocities (25, 50, 100°/s) in the plantar flexion direction (shortening) and at 50°/s in the dorsiflexion direction (stretching). The resultant ankle joint moments were calculated through inverse dynamics. Pennation angle and fascicle length of the m. gastrocnemius medialis at rest and during contractions were measured using ultrasonography. The corresponding ankle moments, kinematics and changes in muscle architecture were analysed at seven time intervals. An analysis of variance for repeated measurements and post hoc test with Bonferroni correction was used to check the velocity-related effects on moment enhancement (α=0.05). The results show an increase in pennation angles and a decrease in fascicle lengths after the shortening–stretch cycle. The ankle joint moment ratio (post to pre) was higher (p<0.01) than 1.0 indicating a moment enhancement after the shortening–stretch cycle. The found ankle joint moment enhancement was 2–5% after the shortening–stretch cycle and was independed of the shortening velocity. Furthermore, the decrease in fascicle length after the shortening–stretch cycle indicates that the moment enhancement found in the present study is underestimated at least by 1–3%. Considering that the experiments have been done at the ascending limb of the force–length curve and that force enhancement is higher at the descending and the plateau region of the force–length curve, we conclude that the moment enhancement after shortening–stretch cycle can have important physiological affects while locomotion. [Copyright &y& Elsevier]

Abstract: The purpose of this study was to examine the postural corrections related to components of dynamic stability aimed to increase our understanding of successful postural control among the elderly population. This was done by comparing balance behaviour of older adults who were able to recover stability (stable) and others who failed to regain stability (unstable) with a single step after a forward fall. Thirty-eight old male adults (64±3yr, 176±6cm, 78.5±7.8kg) had to recover balance after a sudden induced forward fall. All participants performed maximal isometric ankle plantarflexion and knee extension contractions on a dynamometer. The elongation of the gastrocnemius medialis and the vastus lateralis tendon and aponeuroses during isometric contraction was examined by ultrasonography. There were no differences in leg-extensor muscle strength or tendon stiffness between the two groups showing that the muscle tendon capacities may not be the reason for the observed differences in dynamic stability control. The unstable participants created a higher horizontal ground reaction push-off force of the support limb in the second part (∼260ms after release) of the phase until touchdown leading to an unstable body position at touchdown. The results indicate deficits in the way to achieve balance related to mechanisms responsible for dynamic stability control within the elderly population. [Copyright &y& Elsevier]

Abstract: It is well known that during maximal plantar flexion contractions the ankle joint rotation overestimates the actual elongation of the tendon and aponeurosis. The aim of this study was to examine the influence of the curve length changes of the Achilles tendon on the joint rotation corrected elongation and strain of the gastrocnemius medialis (GM) tendon and aponeurosis. Nine subjects (age: 29.4±5.7 years, body mass: 78.8±6.8kg, body height: 178±4cm) participated in the study. The subjects performed maximal voluntary isometric plantarflexion contractions in the prone position on a Biodex-dynamometer. Ultrasonography (Aloka SSD 4000) was used to visualize the muscle belly of the GM muscle-tendon unit. To calculate the curve length changes of the Achilles tendon its surface contour was reconstructed using a series of small reflective skin markers having a diameter of 2.5mm. The elongation of the GM tendon and aponeurosis was calculated (a) as the difference of the measured and the passive (due to joint rotation) displacement of the tendon and aponeurosis and (b) as the difference of the measured displacement and the length changes of the reconstructed Achilles tendon surface contour. The absolute difference between the elongation obtained by both methods were 1.2±0.4mm. These differences were due to the higher changes in length obtained by the reconstruction of the tendon curved surface contour as compared to the changes observed in the passive displacement of the digitised point at the aponeurosis. Without correcting for angle joint rotation, the measured elongation clearly overestimates the actual elongation of the GM tendon and aponeurosis. After the passive displacement correction the calculated elongation still overestimates the actual elongation of the GM tendon and aponeurosis. However, this overestimation has a negligible effect on the examined in vivo strain (∼0.3%) of the tendon and aponeurosis. [Copyright &y& Elsevier]

Many studies report that muscle strength loss may alter the human system's capacity to generate rapid force for balance corrections after perturbations, leading to deficient recovery behaviours. Yet little is known regarding the effect of modifications in the neuromuscular system induced by fatigue on dynamic stability control during postural perturbations. This study investigates the effect of muscle strength decline induced by fatiguing contractions on the dynamic stability control of young and older adults during forward falls. Eleven young and eleven older male adults had to regain balance after sudden falls before and after submaximal fatiguing knee extension-flexion contractions. Young subjects had a higher margin of stability than older ones before and after the fatiguing task. This reflects their enhanced ability in using mechanisms for maintaining dynamic stability (i.e. a greater base of support). The margin of stability, the boundary of the base of support and the position of the extrapolated centre of mass, remained unaffected by the reduction in muscle strength induced by the fatiguing contractions, indicating an appropriate adjustment of the motor commands to compensate the deficit in muscle strength. Both young and older adults were able to counteract the decreased horizontal ground reaction forces after the fatiguing task by flexing their knee to a greater extent, leading to similar decreases in the horizontal velocity of centre of mass as in the pre fatigue condition. The results demonstrate the ability of the central nervous system to rapidly modify the execution of postural corrections including mechanisms for maintaining dynamic stability. [ABSTRACT FROM AUTHOR]

Abstract: Ageing is associated with a higher fatigue resistance during submaximal or maximal fatiguing contractions. The present study aimed to investigate the contribution of the central and peripheral fatigue to the age-related differences in fatigue development of the plantar flexor muscles. Therefore, the voluntary activation, rest twitch moment and voluntary plantar flexor moment were examined before during as well as 2, 5 and 10min after a fatiguing task. This consisted of intermittent isometric submaximal plantar flexor contractions at equal intensity for both young and old adults (considering the age-related differences in muscle inhibition). Consequently, possible differences between young and old adults in voluntary activation during the maximal contraction utilised for determining the intensity of the fatiguing task, which can influence fatigue development, have been taken into account. The plantar flexors moment was calculated using inverse dynamics and the voluntary activation was measured using the twitch interpolation technique. Changes in voluntary activation and rest twitch moment during the fatiguing task were used to assess central and peripheral fatigue, respectively. In both young and old adults, peripheral (∼20%) as well as central fatigue (∼9%) contributed to the time to task failure. Old adults demonstrated greater time to task failure than young ones, but similar voluntary activation behaviour during the fatiguing task. We concluded that, the age-related enhancement in fatigue resistance is not attributable to voluntary activation but is linked to mechanisms located within the working muscle. [Copyright &y& Elsevier]

Abstract: The purposes of this study were to examine (a) whether the morphological properties of the muscle gastrocnemius medialis (GM) contribute to the known enhanced muscle fatigue resistance during submaximal sustained isometric plantar flexion contraction of old compared to young adults and (b) whether a submaximal fatiguing contraction differently affects the mechanical properties of the GM tendon and aponeurosis of old and young adults. Fourteen old and 12 young male subjects performed maximal voluntary isometric plantar flexions (MVC) on a dynamometer before and after a submaximal fatiguing task (40% MVC). Moments and EMG signals from the gastrocnemius medialis and lateralis, soleus and tibialis anterior muscles were measured. The elongation of the GM tendon and aponeurosis and the morphological properties of its contractile element were examined by means of ultrasonography. The old adults showed lower maximal ankle joint moment, stiffness and fascicle length in both tested conditions. The submaximal fatiguing contraction did not affect the force–strain relationship of the GM tendon and aponeurosis of either young or old adults. The time to task failure was longer for the old adults and was strongly correlated with the fascicle length (r 2 =0.50, P <0.001). This provides evidence on that the lower ratio of the active muscle volume to muscle force for the old adults might be an additional mechanism contributing to the known age related increase in muscle fatigue resistance. [Copyright &y& Elsevier]

The aim of this study was to test the hypothesis that sprint performance (time over a given distance) would be affected by track compliance, with better performances on the more compliant surface. Ten sprinters participated in the study. The athletes performed maximal sprints (60 m) on three different track configurations (hard, 5500 kN · m-1; soft, 2200 kN · m-1; spring, 550 kN · m-1). A 60-m single-lane running surface was constructed. Plywood boards (1.2 cm thick) were placed on a 60 × 0.6 m wooden chipboard frame serving as the base surface. All participants ran two times on each track configuration in a randomized order. The athletes' kinematics were recorded using the Vicon 624 system with 12 cameras operating at 250 Hz. Four Kistler force plates (1250 Hz) were used to record ground reaction forces. Sprint performance (time over 60 m) was unaffected by the different track compliances (P = 0.57). In addition, there was no effect of track (P > 0.05) on the sprinting kinematics and kinetics of the ankle or knee joint. The hypothesis that sprint performance is affected by track compliance can be rejected because the sprinters recorded similar performances while sprinting over 60 m on all three track configurations. We conclude that: (1) the possible deformation of the track while sprinting is minor enough not to cause a specific adjustment in the leg mechanics affecting the effectiveness of the stretch - shortening cycle of the sprinters; and (2) the energy exchange between sprinters and tracks has only a marginal effect on sprint performance due to its small magnitude. More research on tracks with lower stiffness is required. [ABSTRACT FROM AUTHOR]

Abstract: The purpose of this study was to investigate the effect of the differences between the actual fascicle length during a voluntary contraction and the fascicle length at rest of the triceps surae muscle on the determination of the voluntary activation (VA) by using the interpolated twitch technique. Twelve participants performed isometric voluntary maximal (MVC) and submaximal (20%, 40%, 60% and 80% MVC) contractions at two different ankle angles (75° and 90°) under application of the interpolated twitch technique. Two ultrasound probes were used to determine the fascicle length of soleus, gastrocnemius medialis and gastrocnemius lateralis muscles. Further, the MVCs and the twitches were repeated for six more ankle angles (85°, 95°, 100°, 105°, 110° and 115°). The VA of the triceps surae muscle were calculated (a) using the rest twitch force (RTF) measured during the same trial as the interpolated twitch force (ITF; traditional method) and (b) using the RTF at an ankle angle where the fascicle length showed similar values between ITF and RTF (fascicle length consideration method). The continuous changes in fascicle length from rest to MVC affect the accuracy of the assessment of the VA. The traditional method overestimates the assessment of the VA on average 4% to 12%, especially at 90° ankle angle (i.e. short muscle length). The reason for this influence is the unequal force–length potential of the muscle at twitch application by the measure of ITF and RTF. These findings provide evidence that the fascicle length consideration method permits a more precise prediction (an improvement of 4–12%) of the voluntary contraction compared to the traditional method. [Copyright &y& Elsevier]

Tendons are able to remodel their mechanical and morphological properties in response to mechanical loading. However, there is little information about the effects of controlled modulation in cyclic strain magnitude applied to the tendon on the adaptation of tendon's properties in vivo. The present study investigated whether the magnitude of the mechanical load induced as cyclic strain applied to the Achilles tendon may have a threshold in order to trigger adaptation effects on tendon mechanical and morphological properties. Twenty-one adults (experimental group, N=11; control group, N=10) participated in the study. The participants of the experimental group exercised one leg at low-magnitude tendon strain (2.85±0.99%) and the other leg at high- magnitude tendon strain (4.55±1.38%) of similar frequency and volume. After 14 weeks of exercise intervention we found a decrease in strain at a given tendon force, an increase in tendon-aponeurosis stiffness and tendon elastic modulus and a region-specific hypertrophy of the Achilles tendon only in the leg exercised at high strain magnitude. These findings provide evidence of the existence of a threshold or set-point at the applied strain magnitude at which the transduction of the mechanical stimulus may influence the tensional homeostasis of the tendons. The results further show that the mechanical load exerted on the Achilles tendon during the low-strain-magnitude exercise is not a sufficient stimulus for triggering further adaptation effects on the Achilles tendon than the stimulus provided by the mechanical load applied during daily activities. [ABSTRACT FROM AUTHOR]

Abstract: The purpose of the present study was to investigate whether the mechanical properties (i.e. force strain relationship) of the triceps surae tendon and aponeurosis relate to the performed sport activity in an intensity-dependent manner. This was done by comparing sprinters with endurance runners and subjects not active in sports. Sixty-six young male subjects (26±5yr; 183±6cm; 77.6±6.7kg) participated in the study. Ten of these subjects were adults not active in sports, 28 were endurance runners and 28 sprinters. All subjects performed isometric maximal voluntary plantar flexion contractions (MVC) on a dynamometer. The distal aponeuroses of the gastrocnemius medialis (GM) was visualised by ultrasound during the MVC. The results showed that only the sprinters had higher normalised stiffness (relationship between tendon force and tendon strain) of the triceps surae tendon and aponeurosis and maximal calculated tendon forces than the endurance runners and the subjects not active in sports. Furthermore, including the data of all 66 examined participants tendon stiffness correlated significantly (r=0.817, P<0.001) with the maximal tendon force achieved during the MVC. It has been concluded that the mechanical properties of the triceps surae tendon and aponeurosis do not show a graded response to the intensity of the performed sport activity but rather remain at control level in a wide range of applied strains and that strain amplitude and/or frequency should exceed a given threshold in order to trigger additional adaptation effects. The results further indicate that subjects with higher muscle strength possibly increase the margin of tolerated mechanical loading of the tendon due to the greater stiffness of their triceps surae tendon and aponeurosis. [Copyright &y& Elsevier]

The objective of this study was to determine whether sprint performance is related to the mechanical (elongation - force relationship of the tendon and aponeurosis, muscle strength) and morphological (fascicle length, pennation angle, muscle thickness) properties of the quadriceps femoris and triceps surae muscle - tendon units. Two groups of sprinters (slow, n = 11; fast, n = 17) performed maximal isometric knee extension and plantar flexion contractions on a dynamometer at 11 different muscle - tendon unit lengths. Elongation of the tendon and aponeurosis of the gastrocnemius medialis and the vastus lateralis was measured using ultrasonography. We observed no significant differences in maximal joint moments at the ankle and knee joints or morphological properties of the gastrocnemius medialis and vastus lateralis between groups (P > 0.05). The fast group exhibited greater elongation of the vastus lateralis tendon and aponeurosis at a given tendon force, and greater maximal elongation of the vastus lateralis tendon and aponeurosis during maximum voluntary contraction (P < 0.05). Furthermore, maximal elongation of the vastus lateralis tendon and aponeurosis showed a significant correlation with 100-m sprint times (r = -0.567, P = 0.003). For the elongation - force relationship at the gastrocnemius medialis tendon and aponeurosis, the two groups recorded similar values. It is suggested that the greater elongation of the vastus lateralis tendon and aponeurosis of the fast group benefits energy storage and return as well as the shortening velocity of the muscle - tendon unit. [ABSTRACT FROM AUTHOR]

Abstract: During a maximal isometric plantar flexion effort the moment measured at the dynamometer differs from the resultant ankle joint moment. The present study investigated the effects of contraction form and contraction velocity during isokinetic plantar/dorsal flexion efforts on the differences between resultant and measured moments due to the misalignment between ankle and dynamometer axes. Eleven male subjects (age: 31±6 years, mass: 80.6±9.6kg, height: 178.4±7.4cm) participated in this study. All subjects performed isometric-shortening-stretch-isometric contractions induced by electrical stimulation at three different angular velocities (25°/s, 50°/s and 100°/s) on a customised dynamometer. The kinematics of the leg were recorded using the vicon 624 system with eight cameras operating at 250Hz. The resultant moments at the ankle joint were calculated through inverse dynamics. The relative differences between resultant and measured ankle joint moments due to axis misalignment were fairly similar in all phases of the isometric-shortening-stretch-isometric contraction (in average 5–9% of the measured moment). Furthermore these findings were independent of the contraction velocity. During dynamic plantar/dorsal flexion contractions the differences between measured and resultant joint moment are high enough to influence conclusions regarding the mechanical response of ankle extensor muscles. However the relative differences were not increased during dynamic contractions as compared to isometric contractions. [Copyright &y& Elsevier]

Abstract: The aims of this study were to investigate whether older adults modify their walking mechanics to compensate for the degeneration in their muscle-tendon units (MTUs), and to examine whether running has a beneficial effect on walking mechanics in younger and older adults. The investigation was conducted on 30 older and 19 younger adults divided into two subgroups: runners versus non-active. In previous studies we documented that older adults had lower leg-extensor muscle strength and tendon stiffness compared to younger. Runners and non-active subjects had similar MTU capacities. In this study we analysed walking kinematics and kinetics (1.6m/s) from the same subjects. Older adults showed a lower gear ratio (ratio between moment arm of the ground reaction force and moment arm of muscle) at the triceps surae MTU during the initial and mid part of ground contact, lower average horizontal forces and lower average ankle joint moment during ground contact compared to younger (p <0.05). Compared to non-active subjects, runners had a lower gear ratio at the quadriceps femoris MTU during the initial and final part of ground contact, lower average horizontal forces and lower maximal knee joint moment during ground contact independent of the subject''s age (p <0.05). We concluded that the older adults modify the gearing at the ankle joint in order to adjust the task effort to the reduced triceps surae muscle strength. It appears, further, that runners walked more effectively from a mechanical standpoint compared to non-active subjects, which suggests that runners may be able to transfer motor adaptation from running to walking even in old age. [Copyright &y& Elsevier]

The notion of proactive control of landings is generally accepted, and some underlying mechanisms have already been described. Only little is known on adjustments at the foot level, however. The authors therefore investigated the foot and ankle behavior of 24 participants as they landed on differently inclined surfaces. A 4-segment model of the foot and ankle provided 3-dimensional kinematics. They also analyzed activation patterns from several muscles and the ground reaction force. Participants anticipated the different surfaces, as shown by the forefoot kinematics and the activation patterns before touch down. Anticipation of the surface inclination led to adjustments in forefoot orientation and probably also in joint stiffness. The authors suggest that those adjustments tend to enhance the self-stabilizing potential of the mechanical system. The enhancement of that potential would ease the subsequent stabilization, reducing the demands on the neural system. [ABSTRACT FROM AUTHOR]

The goals of this study were to investigate whether the lower muscle-tendon units (MTUs) capacities in older affect their ability to recover balance with a single-step after a fall, and to examine whether running experience enhances and protects this motor skill in young and old adults. The investigation was conducted on 30 older and 19 younger divided into two subgroups: runners versus non-active. In previous studies we documented that the older had lower leg extensor muscle strength and tendon stiffness while running had no effect on MTUs capacities. The current study examined recovery mechanics of the same individuals after an induced forward fall. Younger were better able to recover balance with a single-step compared to older (P < 0.001); this ability was associated with a more effective body configuration at touchdown (more posterior COM position relative to the recovery foot, P <0.001). MTUs capacities classified 88.6% of the subjects into single- or multiple-steppers. Runners showed a superior ability to recover balance with a single-step (P < 0.001) compared to non-active subjects due to a more effective mechanical response during the stance phase (greater knee joint flexion, P <0.05). We concluded that the age-related degeneration of the MTUs significantly diminished the older adults' ability to restore balance with a single-step. Running seems to enhance and protect this motor skill. We suggested that runners, due to their running experience, could update the internal representation of mechanisms responsible for the control of dynamic stability during a forward fall and, thus, were able to restore balance more often with a single-step compared to the non-active subjects. [ABSTRACT FROM AUTHOR]

Abstract: The purposes of this study were: (a) to quantify the influence of passive ankle and knee joint angular displacement on the estimated mechanical and architectural properties of the gastrocnemius medialis (GM) muscle–tendon unit, and (b) to determine the strain distribution of separate structures (tendon, aponeurosis and fascicle) during passive lengthening of the GM muscle–tendon unit at rest. Ten male subjects participated in the study. The passive ankle and knee joint movements were performed on an isokinetic dynamometer. The kinematics of the left leg were recorded using the Vicon 624 system with 8 cameras. Two ultrasound probes were used to examine the elongation of the tendon, the aponeurosis, the fascicles and the angle of pennation of the GM. To calculate the elongation of the GM muscle–tendon unit the Achilles tendon path was reconstructed using a series of small reflective markers. The results show that the passive ankle joint angular displacement has a considerable influence on the elongation of the tendinous and architectural structures of the GM muscle–tendon unit. In contrast, the influence of knee joint angular displacement on the GM fascicle length and pennation angle becomes relevant only at knee angles greater than 144°. The contribution of the tendon to the elongation of the GM muscle–tendon unit at rest is relevant because of its greater resting length in comparison to the resting length of the GM fascicles. The results indicate the existence of slackness in the inactive GM muscle–tendon unit between 121° and 107° ankle angle and between 65° and 144° knee angle. [Copyright &y& Elsevier]

Abstract: The purpose of this study was to provide evidence on the fact that the observed decrease in EMG activity of the gastrocnemius medialis (GM) at pronounced knee flexed positions is not only due to GM insufficiency, by examining muscle fascicle lengths during maximal voluntary contractions at different positions. Twenty-two male long distance runners (body mass: 78.5±6.7kg, height: 183±6cm) participated in the study. The subjects performed isometric maximal voluntary plantar flexion contractions (MVC) of their left leg at six ankle–knee angle combinations. To examine the resultant ankle joint moments the kinematics of the left leg were recorded using a Vicon 624 system with 8 cameras operating at 120Hz. The EMG activity of GM, gastrocnemius lateralis (GL), soleus (SOL) and tibialis anterior (TA) were measured using surface electromyography. Synchronously, fascicle length and pennation angle values of the GM were obtained at rest and at the plateau of the maximal plantar flexion using ultrasonography. The main findings were: (a) identifiable differences in fascicle length of the GM at rest do not necessarily imply that these differences would also exist during a maximal isometric plantar flexion contraction and (b) the EMG activity of the biarticular GM during the MVC decreased at a pronounced flexed knee-joint position (up to 110°) despite of no differences in GM fascicle length. It is suggested that the decrease in EMG activity of the GM at pronounced knee flexed positions is due to a critical force–length potential of all three muscles of the triceps surae. [Copyright &y& Elsevier]

The goals of the study were to identify adaptational phenomena in running mechanics over a variety of surfaces due to age related changes in the muscle-tendon units (MTUs) capacities, to examine whether running experience is associated with adaptational effects on running mechanics over a variety of surfaces even at old age, and to investigate whether surface condition affects running mechanics. The investigation was executed on 30 old and 19 young including 29 runners and 20 non-active subjects. In a previous study we documented that the older had lower MTUs capacities. In the present study running mechanics were analysed as the same subjects ran at 2.7 m/s over three surfaces having different compliance. Surface condition did not affect centre of mass trajectory, duty factor or joint kinetics (P > 0.01). Older react to the reduced MTUs capacity by increasing duty factor and benefiting from a mechanical advantage for the triceps surae MTU and a lower rate of force generation on all surfaces (P < 0.01). Runners displayed lower average horizontal forces and a higher mechanical advantage for the quadriceps femoris MTU for all surfaces (P < 0.01). The results provided strong evidence on that running strategy remained essentially unchanged over a variety of surfaces. Adaptive improvements in running mechanics due to task experience were present for all surfaces and did not depend on age. We further concluded that older adults were able to recalibrate their running strategy to adjust the task effort to the reduced MTUs capacities in a feedforward control manner for a variety of mechanical environments. [ABSTRACT FROM AUTHOR]

The goals of the study were to identify adaptational phenomena in running mechanics over a variety of surfaces due to age related changes in the muscle-tendon units (MTUs) capacities, to examine whether running experience is associated with adaptational effects on running mechanics over a variety of surfaces even at old age, and to investigate whether surface condition affects running mechanics. The investigation was executed on 30 old and 19 young including 29 runners and 20 non-active subjects. In a previous study we documented that the older had lower MTUs capacities. In the present study running mechanics were analysed as the same subjects ran at 2.7 m/s over three surfaces having different compliance. Surface condition did not affect centre of mass trajectory, duty factor or joint kinetics ( P > 0.01). Older react to the reduced MTUs capacity by increasing duty factor and benefiting from a mechanical advantage for the triceps surae MTU and a lower rate of force generation on all surfaces ( P < 0.01). Runners displayed lower average horizontal forces and a higher mechanical advantage for the quadriceps femoris MTU for all surfaces ( P < 0.01). The results provided strong evidence on that running strategy remained essentially unchanged over a variety of surfaces. Adaptive improvements in running mechanics due to task experience were present for all surfaces and did not depend on age. We further concluded that older adults were able to recalibrate their running strategy to adjust the task effort to the reduced MTUs capacities in a feedforward control manner for a variety of mechanical environments. [ABSTRACT FROM AUTHOR]

The purpose of this study was to test the hypothesis that runners having different running economies show differences in the mechanical and morphological properties of their muscle-tendon units (MTU) in the lower extremities. Twenty eight long-distance runners (body mass: 76.8±6.7 kg, height: 182±6 cm, age: 28.1±4.5 years) participated in the study. The subjects ran on a treadmill at three velocities (3.0, 3.5 and 4.0 m s-1) for 15 min each. The ...O2 consumption was measured by spirometry. At all three examined velocities the kinematics of the left leg were captured whilst running on the treadmill using a high-speed digital video camera operating at 250 Hz. Furthermore the runners performed isometric maximal voluntary plantarflexion and knee extension contractions at eleven different MTU lengths with their left leg on a dynamometer. The distal aponeuroses of the gastrocnemius medialis (GM) and vastus lateralis (VL) were visualised by ultrasound during plantarflexion and knee extension, respectively. The morphological properties of the GM and VL (fascicle length, angle of pennation, and thickness) were determined at three different lengths for each MTU. A cluster analysis was used to classify the subjects into three groups according to their ...O2 consumption at all three velocities (high running economy, N=10; moderate running economy, N=12; low running economy, N=6). Neither the kinematic parameters nor the morphological properties of the GM and VL showed significant differences between groups. The most economical runners showed a higher contractile strength and a higher normalised tendon stiffness (relationship between tendon force and tendon strain) in the triceps surae MTU and a higher compliance of the quadriceps tendon and aponeurosis at low level tendon forces. It is suggested that at low level forces the more compliant quadriceps tendon and aponeurosis will increase the force potential of the muscle while running and therefore the volume of active muscle at a given force generation will decrease. [ABSTRACT FROM AUTHOR]

Abstract: The purpose of this study was to analyze the reproducibility of kinematic, dynamometric and derived mechanical energy parameters in the pole vault as a main precondition for the practical applicability of the concept of energy exchange in the pole vault [Arampatzis et al., 2004. Journal of Biomechanics 37, 1353–1360]. A total of 46 vaults of six experienced vaulters were analyzed. On the basis of 3D kinematic data of the athlete and the pole and ground reaction forces measured at the end of the pole in the planting box the reproducibility of parameters that describe the energy transfer into the pole and the energy exchange between the athlete and the pole during the vault was proofed. Intraclass correlation, mean root mean square and the coefficient of variance were determined, additionally the Wilcoxon Test was applied. Parameters of the athlete''s 3D total mechanical energy, e.g. initial energy and final energy, and the pole energy (maximum pole energy, energy of the pole due to compressive force and bending moment) were highly reproducible. The distribution of the energy transferred into the pole due to compressive force and bending moment, the same as the energy gain of the vaulter–pole system during the vault, which indicates the strategy of interacting with the pole, were also reproducible. With this the concept of energy exchange in the pole vault can be used to analyze the impact of training interventions, changes in movement pattern respectively, on the vaulters performance during different phases of the vault. The analysis of one trial of an athlete should be sufficient to identify changes in the athlete''s interaction with the elastic pole. [Copyright &y& Elsevier]

In earlier studies, we found more economical runners having a more compliant quadriceps femoris (QF) tendon at low force levels, and a higher contractile strength and stiffness at the triceps surae (TS). To better understand how these differences influence force generation economy and energy recovery, we simulated contractions using a Hill-type muscle model and the previously determined muscle properties as input parameters. For eight different activation levels, we simulated isovelocity concentric contractions preceded by an isovelocity stretch. The length changes and contraction velocities imposed to the muscle–tendon units (MTU) corresponded to those happening whilst running. The main results of the simulations were: (a) a more compliant tendon at low force levels (QF) led to an advantage in force-generation due to a decrease in shortening velocity of the CE, (b) a higher contractile strength and higher stiffness at the TS led to a disadvantage in force-generation at high activation levels and to an advantage at low activation levels. In addition at the high economy runners both MTUs showed an advantageous energy release during shortening, which at the QF was mainly due to a higher elongation of the SEE and at the TS mainly to the higher contractile strength. Especially at low activation levels both MTUs showed an advantageous force generation per activation and a higher energy release as compared to the low economy runners. [ABSTRACT FROM AUTHOR]

Abstract: The aim of the present study was to examine whether or not the compliance of the gastrocnemius medialis (GM) tendon and aponeurosis is influenced by submaximal fatiguing efforts. Fourteen elderly male subjects performed isometric maximal voluntary plantarflexion contractions (MVC) on a dynamometer before and after two fatiguing protocols. The protocols consisted of: (1) submaximal concentric isokinetic contractions (70% isokinetic MVC) at 60°/s and (2) a sustained isometric contraction (40% isometric MVC) until failure to hold the defined moment. Ultrasonography was used to determine the elongation and strain of the GM tendon and aponeurosis. To account for the axis misalignment between ankle and dynamometer, the kinematics of the leg were captured at 120Hz. The maximum moment decreased from 85.9±17.9 Nm prior fatigue to 79.2±19 Nm after isokinetic fatigue and to 69.9±16.4 Nm after isometric fatigue. The maximal strain of the GM tendon and aponeurosis before fatigue, after isokinetic and after isometric fatigue were 4.9±1.1%, 4.4±1.1% and 4.3±1.1% respectively. Neither the strain nor the elongation showed significant differences before and after each fatiguing task at any 100N step of the calculated tendon force. This implies that the compliance was not altered after either the isokinetic or the isometric fatiguing task. Therefore it was concluded that the strains during the performed submaximal fatiguing tasks, were too small to provoke any structural changes in tendon and aponeurosis. [Copyright &y& Elsevier]

Abstract: The purpose of this study was to examine the effects of aging and endurance running on the mechanical and morphological properties of different muscle–tendon units (MTUs) in vivo. The investigation was conducted on 30 elderly and 19 young adult males. For the analysis of possible MTU adaptation in response to endurance running the subjects were divided into two subgroups: non-active vs. endurance-runners. All subjects performed isometric maximal voluntary plantarflexion and knee extension contractions on a dynamometer. The distal aponeurosis of the gastrocnemius medialis (GM) and vastus lateralis (VL) during plantarflexion and knee extensions and the muscle architecture of the GM and VL were visualized by ultrasonography. The maximal knee and ankle joint moment were higher for the young compared to the elderly population (p<0.05). No identifiable differences in muscle architecture between young and elderly subjects were detected in VL and GM. Aging results in a reduced (p<0.05) normalized stiffness of the quadriceps femoris tendon and aponeurosis, which were not identifiable for the triceps surae. In contrast, the properties of both MTUs showed no major differences between endurance-runners and the non-active group (p>0.05). Only pennation angle at the GM were higher for the runners compared to the non-active group (p<0.05). The present results indicate that tendon changes related to aging do not occur proportionally in different MTUs. Furthermore, it seems that the extra stress and load imposed on high-load-bearing MTUs during endurance running may not be sufficient to produce significant adaptative processes in the mechanical parameters analyzed. [Copyright &y& Elsevier]

The objectives of this work were (i) to investigate whether chronic endurance running is a sufficient stimulus to counteract the age-related changes in the mechanical and morphological properties of human triceps surae (TS) and quadriceps femoris (QF) muscle-tendon units (MTUs) by comparing runners and non-active subjects at different ages (young and old), (ii) to identify adaptational phenomena in running mechanics due to age-related changes in the mechanical and morphological properties of the TS and QF MTUs, and finally (iii) to examine whether chronic endurance-running exercise is associated with adaptational effects on running characteristics in old and young adults. The investigation was conducted on 30 old and 19 young adult males divided into two subgroups according to their running activity: endurance-runners vs non-active. To analyse the properties of the MTUs, all subjects performed isometric maximal voluntary (MVC) ankle plantarflexion and knee extension contractions at 11 different MTU lengths on a dynamometer. The activation of the TS and QF during MVC was estimated by surface electromyography. The gastrocnemius medialis and the vastus lateralis and their distal aponeuroses were visualized by ultrasonography at rest and during MVC, respectively. Ground reaction forces and kinematic data were recorded during running trials at 2.7 m s-1. The TS and QF MTU capacities were reduced with aging (lower muscle strength and lower tendon stiffness). Runners and non-active subjects had similar MTU properties, suggesting that chronic endurance-running exercise does not counteract the age-related degeneration of the MTUs. Runners showed a higher mechanical advantage for the QF MTU while running (lower gear ratio) compared to non-active subjects, indicating a task-specific adaptation even at old age. Older adults reacted to the reduced capacities of their MTUs by increasing running safety (higher duty factor, lower flight time) and benefitting from a mechanical advantage for the TS MTU, lower rate of force generation and force generation per meter distance. We suggest that the improvement in running mechanics in the older adults happens due to a perceptual motor recalibration and a feed-forward adaptation of the motor task aimed at decreasing the disparity between the reduced capacity of the MTUs and the running effort. [ABSTRACT FROM AUTHOR]

Abstract: The purpose of this study was to examine two hypotheses: (a) mat hardness affects foot motion during landing; (b) the influence of a surface stabilising interface integrated in a mat on foot motion is detectable. Two studies were carried out: In the first one, six female gymnasts performed barefoot landings from different falling heights onto three mats having different hardness. In the second study, a stabilising mechanism was integrated in the surface of three new mats with different hardness. Three high speed video cameras (250Hz) captured the motion of the left leg and foot. These were modelled by means of a four rigid body system. The maximal eversion at the ankle joint was not influenced by the different mats (hard: 4.6°±1.9 to 9.3°±3.4, medium: 3.1°±2.7 to 7.4°±3.5, soft: 4.8°±2.1 to 8.4°±3.5). The soft mat without the stabilised surface showed higher eversion values (p &#60;0.05) between forefoot and rearfoot (medial joint: hard: 5.1°±3.2 to 7.3°±3.3, medium: 6.9°±3.1 to 7.5°±2.9, soft: 12.7°±4.1 to 13.4°±3.3; lateral joint: hard: 8.5°±3.1 to 9.7°±1.1, medium: 9.5°±2.6 to 11.2°±3.3, soft: 12.1°±2.3 to 15.7°±3.3). For the mats with the surface stabilising interface, the different hardness did not cause any significant differences in maximal eversion values at the medial (hard: 1.5°±3.3 to 5.5°±4.5, medium: 1.3°±3.5 to 5.1°±3.6, soft: 0.7°±4.9 to 5.4°±4.2) nor at the lateral (hard: 11.3°±4.2 to 17.3°±4.2, medium: 12.3°±4.8 to 17.1°±3.7, soft: 11.5°±4.6 to 17.1°±4.3) forefoot joints. The structure of the mat and the consequent deformation hollow did not influence the kinematics of the ankle joint during landings, but it influenced the motion at the medial and the lateral forefoot joints. By means of a stabilised surface, it is possible to reduce the influence of mat deformation on the maximal eversion between forefoot and rearfoot. [Copyright &y& Elsevier]

The purpose of this study was to examine whether the human gastrocnemius medialis (GM) fascicle length and pennation angle alter during a sustained submaximal isometric plantar flexion. Fourteen male subjects performed maximal voluntary plantar flexions (MVC) on a dynamometer before and after a fatiguing task. This task consisted of a sustained submaximal isometric fatiguing contraction (40% MVC) until failure to hold the defined moment. Ultrasonography was used to visualise the muscle belly of the GM. Leg kinematics were recorded (120 Hz) to calculate the joint moment using inverse dynamics. The exerted moments and the EMG signals from GM and lateralis, soleus and tibialis anterior were measured at 1,080 Hz. The root mean square (RMS) of the EMG signal of the three triceps surae muscles increased significantly ( P≤0.05) between 17% and 28% with fatigue. Further, the fascicle length of the GM significantly decreased from 47.1±8.0 mm at the beginning to 41.8±6.7 mm at the end of fatigue and the pennation angle increased from 23.5±4.1° to 26.3±2.2° ( P≤0.05). The changes in fascicle length and pennation angle of the GM during the contraction can influence the force potential of the muscle due to the force–length relationship and the force transmission to the tendon. This provides evidence on that an additional mechanical mechanism, namely tendon creep, can contribute to the increase in the EMG activity of the GM during submaximal isometric sustained contractions. [ABSTRACT FROM AUTHOR]

Abstract: Background: Joint stabilisation processes have been mainly studied comparing groups or joints with different stabilities and mainly focusing on one single parameter. The inherent limitations are discussed and a study, where kinematic, kinetic and electromyografic parameters gained from sudden tilt tests were measured, is presented. Methods: The response of 24 subjects to sudden lateral and medial tilts of the foot during one legged stance were compared. A three-dimensional foot model was utilised to describe ankle and foot motion. Electromyografic signals of six muscles of the lower limb as well as the horizontal ground reaction forces were analysed. Findings: Forefoot to rearfoot motion was faster and greater than ankle motion. In general medial tilts showed lower motion amplitudes and angular velocities than lateral tilts but higher horizontal ground reaction force integrals. The electromyography patterns where similar for both conditions. However, a specificity of the muscular response could be identified in the electromyography amplitudes. Interpretation: The higher mediolateral ground reaction forces, together with the reduced kinematic and no general increase in muscular activation in medial tilts suggest, that passive structures seem to be able to counteract destabilising forces and thus reduce the otherwise needed muscular activation. [Copyright &y& Elsevier]

The purpose of this study was to examine two hypotheses: (a) during voluntary and electrically induced isometric contractions the moments measured at the dynamometer are different from the resultant moments in the same plane around the ankle joint and (b) at a given resultant moment during electrically induced isometric contractions the ankle angle while loading is different from the ankle angle while unloading. Twenty-seven long distance runners participated in the study. All subjects performed isometric maximal voluntary contractions (MVC) and contractions induced by electrostimulation at four different ankle–knee angle combinations on a Biodex-dynamometer. The kinematics of the leg were recorded using the vicon 624 system with eight cameras operating at 120 Hz. The main findings were: (a) the resultant moment at the ankle joint and the moment measured by the Biodex-dynamometer during isometric contractions are different, (b) during a plantar flexion effort the ankle angle changes significantly, whereas the knee angle shows only small and in most cases not significant changes, and (c) at identical resultant ankle joint moments the ankle angles are different between the loading and the unloading phases. The observed differences may lead to erroneous conclusions concerning the following: (a) diagnostic of muscle architecture, (b) estimation of the moment–ankle angle relationship and (c) estimation of the strain and hysteresis of tendons and aponeuroses. [Copyright &y& Elsevier]

During maximal efforts, antagonistic activity can significantly influence the joint moment. During maximal voluntary “isometric” contractions, certain joint rotation can not be avoided. This can influence the estimation of the antagonistic moment from the EMG activity. Our study aimed to quantify the influence on the calculated agonistic moment produced during maximal voluntary isometric plantarflexions (a) when estimating antagonistic moments at different ankle angles and (b) when placing the EMG electrodes at different portions over the m. tibialis anterior.Ten subjects performed maximal voluntary isometric plantarflexions at 90° ankle angle. In order to estimate the antagonistic moment, submaximal isometric dorsiflexions were performed at various ankle angles. Moment and EMG signals from mm. triceps surae and tibialis anterior were measured. The RMS differences between plantarflexors moment calculated considering the antagonistic cocontraction estimated at the same ankle angle at which the maximal plantarflexion moment was achieved and at different ankle angles ranged from 0.10 to 2.94 Nm. The location of the electrodes led to greater RMS differences (2.35–5.18 Nm). In conclusion, an angle 10° greater than the initial plantarflexion angle is enough to minimize the effect of the change in length of the m. tibialis anterior during the plantarflexion on the estimation of the plantarflexors moment. The localisation of the electrodes over the m. tibialis anterior can influence the estimation of its cocontraction during maximal plantarflexion efforts. [Copyright &y& Elsevier]

The purposes of this study were: (a) to examine the interactions between the athlete and the pole and the possibility for the athlete to take advantage of the pole''s elasticity by means of muscular work and (b) to develop performance criteria during the interaction between the athlete and the pole in pole vaulting. Six athletes performed 4–11 trials each, at 90% of their respective personal best performance. All trials were recorded using four synchronized, genlocked video cameras operating at 50 Hz. The ground reaction forces exerted on the bottom of the pole were measured using a planting box fixed on a force plate (1000 Hz). The interaction between athlete and pole may be split into two parts. During the first part, energy is transferred into the pole and the total energy of the athlete decreases. The difference between the energy decrease of the athlete and the pole energy is an indicator of the energy produced by the athletes by means of muscular work (criterion 1). During the second part of the interaction, energy is transferred back to the athlete and the total energy of the athlete increases. The difference between the returned pole energy and the amount of energy increase of the athlete defines criterion 2. In general, the function of the pole during the interaction is: (a) store part of the kinetic energy that the athlete achieved during the run up as strain energy and convert this strain energy into potential energy of the athlete, (b) allow the active system (athlete) to produce muscular work to increase the total energy potential. [Copyright &y& Elsevier]

The aim of this study was to identify differences between elite male and female pole vaulters in terms of their mechanical energy and angular momentum. The vaulter's total mechanical energy and angular momentum were calculated from the three-dimensional kinematic data of the pole vault finals at the Sydney 2000 Olympic Games. The development of total, kinetic and potential energy showed similar characteristics for men and women. The initial energy of the vault, the energy at maximum pole bend position and the final energy were significantly higher for male athletes ( P <0.05), while the energy gain produced by the athletes during the vault showed no significant differences (male vaulters 5.88 ± 1.02 J · kg -1 , female vaulters 5.74 ± 1.63 J · kg -1 ). Time-related parameters relating to pole bending and recoiling also showed no significant differences ( P <0.05). In contrast to the male vaulters, the female vaulters did not show a free upward flight phase. The angular momentum was significantly higher for the female vaulters during the initial pole bend and during the bar clearance ( P <0.05). We conclude that the pole vaulting technique of female elite athletes is not a projection of the technique of male elite vaulters at a lower jump height, but rather a different way of jumping and interacting with the elastic pole. The current technique of elite female pole vaulters still has potential for further improvement. [ABSTRACT FROM AUTHOR]

The purposes of this study are (a) to examine the effects of contact time manipulation on jump parameters and (b) to examine the interaction between starting height changes and contact time changes on important jump parameters. Fifteen male athletes performed a series of drop jumps from heights of 20, 40, and 60 cm. The instructions given to the subjects were (a) “jump as high as you can” and (b) “jump high a little faster than your previous jump.” Jumps were performed at each height until the athlete could not achieve a shorter ground contact time. The data were divided into 5 groups where group 1 was made up of the longest ground contact times of each athlete and groups 2-4 were composed of progressively shorter contact times, with group 5 having the shortest contact times. The jumps of group 3 produced the highest maximum and mean mechanical power (p < 0.05) during the positive phase of the drop jumps regardless of starting jump height. The vertical takeoff velocities for the first 3 groups did not show significant (p < 0.05) differences. These results indicate that the manipulation of jump technique plays larger role than jump height in the manipulation of important jump parameters. [ABSTRACT FROM AUTHOR]

This study examined the validity of the assumption of electromyographic (EMG) and vertical ground reaction force (GRF) parameter reproducibility during running at different velocities and stride frequencies. Each of 12 female long distance runners ran on a treadmill in combinations of three velocities (2.5, 3.0 and 3.5 m/s) and three stride frequencies (preferred, ±10% from preferred). Seven parameters from the GRF and five parameters from the EMG signals from five muscles of the lower extremity were evaluated (1000 Hz). The GRF was analysed by a pressure measuring insoles. A total number of three trials for each running condition were recorded. GRF parameters during all running conditions showed high intraclass correlation coefficients (ICC average 0.87). The ICC of the EMG parameters of gastrocnemius medialis and lateralis were high (r>0.69 in 73% of the data), while those for vastus lateralis (22%), hamstrings (42%) and tibialis anterior (51%) were clearly lower. The results revealed that GRF parameters were reproducible during all running techniques indicating that a single trial would provide reproducible GRF-data. The reproducibility of the EMG parameters was not influenced by the running technique but dependent on the parameter itself and on the muscle studied. [Copyright &y& Elsevier]

Objective. Examine two hypotheses: (a) during isometric knee extension contractions the moment measured at the dynamometer is different from the resultant moment in the same plane around the knee joint and (b) during isometric contractions, at the same given resultant moment the knee angle while loading is different from the knee angle while unloading.Design. Comparative study in which the geometrical and the kinetic differences between joint and dynamometer were determined.Background. It is usually assumed that the moment measured by the dynamometer is equivalent to the resultant joint moment. The non-rigidity of the dynamometer-leg system can influence the equivalence of these two moments.Method. Twenty seven subjects performed isometric maximal knee extension contractions and contractions induced by electrostimulation on a dynamometer. The kinematics of the leg were recorded using 8 cameras (120 Hz).Results. The resultant moment at the knee joint and the moment measured by the dynamometer are different. During a knee extension effort the knee angle changes significantly. At identical resultant knee joint moments the knee angles are different when comparing the loading and the unloading phases.Conclusions. The differences between the measured and the resultant joint moments might influence the estimation of parameters as: muscle forces, moment–angle relationship and strain and hysteresis of tendons and aponeuroses.RelevanceTorque dynamometers have been often used to estimate muscle forces, to examine neuromuscular processes and to determine the mechanical properties of tendons and aponeuroses. [Copyright &y& Elsevier]