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      No Effect of EVA and TPU Custom Foot Orthoses on Mechanical Asymmetries during Acute Intense Fatigue

      , ,
      Symmetry
      MDPI AG

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          Abstract

          This study examined the impact of custom foot orthoses made of ethyl-vinyl acetate (EVA) and expanded thermoplastic polyurethane (TPU) materials, both compared to a control condition (CON; shoes only), on mechanical asymmetries during repeated treadmill sprints. Eighteen well-trained male runners executed eight, 5-s sprints (rest: 25 s) on an instrumented motorized treadmill in three footwear conditions (EVA, TPU, and CON). We evaluated the group mean asymmetry scores using the ‘symmetry angle’ (SA) formula, which assigns a score of 0% for perfect symmetry and a score of 100% for perfect asymmetry. There was no condition (all p ≥ 0.053) or time (p ≥ 0.074) main effects, nor were there any significant time × condition interactions on SA scores for any variables (p ≥ 0.640). Mean vertical, horizontal, and total forces presented mean SA values (pooled values for the three conditions) of 2.6 ± 1.9%, 2.9 ± 1.6%, and 2.4 ± 1.8%, respectively. Mean SA scores were ~1–3% for contact time (1.5 ± 0.5%), flight time (3.0 ± 0.3%), step frequency (1.1 ± 0.5%), step length (1.9 ± 0.7%), vertical stiffness (2.1 ± 0.9%), and leg stiffness (2.4 ± 1.1%). Mean SA scores were ~2–6.5% for duration of braking (4.1 ± 1.6%) and propulsive (2.4 ± 1.0%) phases, and peak braking (6.2 ± 2.9%) and propulsive (2.1 ± 1.4%) forces. In well-trained runners facing intense fatigue, wearing custom foot orthoses did not modify the observed low-to-moderate natural stride mechanical asymmetries.

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          Most cited references34

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          Sprint Acceleration Mechanics: The Major Role of Hamstrings in Horizontal Force Production

          Recent literature supports the importance of horizontal ground reaction force (GRF) production for sprint acceleration performance. Modeling and clinical studies have shown that the hip extensors are very likely contributors to sprint acceleration performance. We experimentally tested the role of the hip extensors in horizontal GRF production during short, maximal, treadmill sprint accelerations. Torque capabilities of the knee and hip extensors and flexors were assessed using an isokinetic dynamometer in 14 males familiar with sprint running. Then, during 6-s sprints on an instrumented motorized treadmill, horizontal and vertical GRF were synchronized with electromyographic (EMG) activity of the vastus lateralis, rectus femoris, biceps femoris, and gluteus maximus averaged over the first half of support, entire support, entire swing and end-of-swing phases. No significant correlations were found between isokinetic or EMG variables and horizontal GRF. Multiple linear regression analysis showed a significant relationship (P = 0.024) between horizontal GRF and the combination of biceps femoris EMG activity during the end of the swing and the knee flexors eccentric peak torque. In conclusion, subjects who produced the greatest amount of horizontal force were both able to highly activate their hamstring muscles just before ground contact and present high eccentric hamstring peak torque capability.
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            The symmetry angle: a novel, robust method of quantifying asymmetry.

            Quantification of asymmetry is a common objective in both research and clinical settings. The most common method for quantification of asymmetry of discrete variables is calculation of the symmetry index. Essentially a measure of the percent difference between sides, the symmetry index requires the choice of a reference value. This is a limitation as the choice of value is not always clear, and can lead to inconsistent results and artificially inflated values. Therefore, the purposes of the current study were to examine the limitations of the symmetry index in depth, define a new method of quantifying symmetry that is robust to those limitations (the symmetry angle), and compute the correlations between the two measures. The results showed that, when using the symmetry index, the interpretation of asymmetry can be highly affected by the choice of reference value. The symmetry angle does not require the choice of a reference value. Therefore, it is not prone to the same limitations. While symmetry angle values tend to be smaller than symmetry index values, the measures are very highly correlated. This suggests that the symmetry angle is a good substitute for the symmetry index. Future studies of asymmetry may benefit from the use of the symmetry angle, as it is equally effective for identifying intra-limb differences as the symmetry index, but is not prone to problems due to normalization and provides a standard scale (+/-100%) to interpret results.
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              Direct measurement of power during one single sprint on treadmill.

              We tested the validity of an instrumented treadmill dynamometer for measuring maximal propulsive power during sprint running, and sought to verify whether this could be done over one single sprint, as shown during sprint cycling. The treadmill dynamometer modified towards sprint use (constant motor torque) allows vertical and horizontal forces to be measured at the same location as velocity, i.e. at the foot, which is novel compared to existing methods in which power is computed as the product of belt velocity and horizontal force measured by transducers placed in the tethering system. Twelve males performed 6s sprints against default, high and low loads set from the motor torque necessary to overcome the friction due to subjects' weight on the belt (default load), and 20% higher and lower motor torque values. Horizontal ground reaction force, belt velocity, propulsive power and linear force-velocity relationships were compared between the default load condition and when taking all conditions together. Force and velocity traces and values were reproducible and consistent with the literature, and no significant difference was found between maximal power and force-velocity relationships obtained in the default load condition only vs. adding data from all conditions. The presented method allows one to measure maximal propulsive power and calculate linear force-velocity relationships from one single sprint data. The main novelties are that both force and velocity are measured at the same location, and that instantaneous values are averaged over one contact period, and not over a constant arbitrary time-window. 2010 Elsevier Ltd. All rights reserved.
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                Author and article information

                Contributors
                (View ORCID Profile)
                Journal
                SYMMAM
                Symmetry
                Symmetry
                MDPI AG
                2073-8994
                March 2023
                March 11 2023
                : 15
                : 3
                : 705
                Article
                10.3390/sym15030705
                d5eeae53-0b49-40d9-a740-e2061b278165
                © 2023

                https://creativecommons.org/licenses/by/4.0/

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