We systematically reviewed observational and clinical trials (baseline) studies examining differences in gait parameters between Parkinson’s disease (PD) in on-medication state and healthy control. Four electronic databases were searched (November-2018 and updated in October-2020). Independent researchers identified studies that evaluated gait parameters measured quantitatively during self-selected walking speed. Risk of bias was assessed using an instrument proposed by Downs and Black (1998). Pooled effects were reported as standardized mean differences and 95% confidence intervals using a random-effects model. A total of 72 studies involving 3027 participants (1510 with PD and 1517 health control) met the inclusion criteria. The self-selected walking speed, stride length, swing time and hip excursion were reduced in people with PD compared with healthy control. Additionally, PD subjects presented higher cadence and double support time. Although with a smaller difference for treadmill, walking speed is reduced both on treadmill (.13 m s−1) and on overground (.17 m s−1) in PD. The self-select walking speed, stride length, cadence, double support, swing time and sagittal hip angle were altered in people with PD compared with healthy control. The precise determination of these modifications will be beneficial in determining which intervention elements are most critical in bringing about positive, clinically meaningful changes in individuals with PD (PROSPERO protocol CRD42018113042).

Background: Elastic bouncing is a physio-mechanical model that can elucidate running behavior in different situations, including landing and takeoff patterns and the characteristics of the muscle-tendon units during stretch and recoil in running. An increase in running speed improves the body’s elastic mechanisms. Although some measures of elastic bouncing are usually carried out, a general description of the elastic mechanism has not been explored in running performance. This study aimed to compare elastic bouncing parameters between the higher- and lower-performing athletes in a 3000 m test. Methods: Thirty-eight endurance runners (men) were divided into two groups based on 3000 m performance: the high-performance group (P high ; n = 19; age: 29 ± 5 years; mass: 72.9 ± 10 kg; stature: 177 ± 8 cm; 3000 time : 656 ± 32 s) and the low-performance group (P low ; n = 19; age: 32 ± 6 years; mass: 73.9 ± 7 kg; stature: 175 ± 5 cm; 3000 time : 751 ± 29 s). They performed three tests on different days: (i) 3000 m on a track; (ii) incremental running test; and (iii) a running biomechanical test on a treadmill at 13 different speeds from 8 to 20 km h −1 . Performance was evaluated using the race time of the 3000 m test. The biomechanics variables included effective contact time ( t ce ), aerial time ( t ae ), positive work time ( t push ), negative work time ( t break ), step frequency ( f step ), and elastic system frequency ( f sist ), vertical displacement ( S v ) in t ce and t ae ( S ce and S ae ), vertical force, and vertical stiffness were evaluated in a biomechanical submaximal test on treadmill. Results: The t ae , f sist , vertical force and stiffness were higher ( p < 0.05) and t ce and f step were lower ( p < 0.05) in P high , with no differences between groups in t push and t break . Conclusion: The elastic bouncing was optimized in runners of the best performance level, demonstrating a better use of elastic components.

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PurposeStrength training improves distance running economy and performance. This finding is based predominantly on maximal and explosive strength programmes applied to locomotor muscles, particularly on the lower limbs. It is not certain whether a minimization of metabolic cost (Cmet) and an improvement in running performance is feasible with strength training of the postural and trunk muscles.MethodsUsing kinematic, neuromuscular and metabolic measurements of running at two different speeds before and after a 12-week Pilates training programme, we tested the hypothesis that core training might improve the running Cmet and performance of trained runners. Thirty-two individuals were randomly assigned to the control group (CG, n = 16) or the Pilates group (PG, n = 16).ResultsConfirming our hypothesis, a significant improvement (p<0.05) was observed for running performance in the PG (pre: 25.65±0.4 min; post: 23.23±0.4 min) compared to the CG (pre: 25.33±0.58 min; post: 24.61±0.52 min). Similarly, the PG (4.33±0.07 J.kg-1.m-1) had better responses than the CG (4.71±0.11 J.kg-1.m-1) during post-training for Cmet. These findings were accompanied by decreased electromyographic activity of the postural muscles at submaximal running intensities in the PG.ConclusionsOverall, these results provide a rationale for selecting strength training strategies that target adaptations on specific postural and locomotor muscles for trained distance runners.

Background: Nordic walking is an attractive method of endurance training. Nevertheless, the biomechanic response due to the additional contribution of using poles in relation to free walking training has been less explored in the elderly. Purpose: This randomized parallel controlled trial aimed to assess the effects of 8 weeks of Nordic walking and free walking training on the walking economy, mechanical work, metabolically optimal speed, and electromyographic activation in elderly. Methods: Thirty-three sedentary elderly were randomized into Nordic walking (n = 16) and free walking group (n = 17) with equalized loads. Submaximal walking tests were performed from 1 to 5 km h −1 on the treadmill.Results: Walking economy was improved in both free and Nordic walking groups (x 2 4.91, p = 0.014) and the metabolically optimal speed was increased by approximately 0.5 km h −1 changing the speed-cost profile. The electromyographic activation in lower and upper limbs, pendular recovery, and total, external, and internal mechanical work remained unchanged (p > 0.05). Interestingly, the internal mechanical work associated with arm movement was higher in the Nordic walking group than in the free walking group after training, while the co-contraction from upper limb muscles was reduced similarly to both groups.Conclusions: Eight weeks of Nordic walking training effectively improved the walking economy and functionality as well as maintained the gait mechanics, similar to free walking training in elderly people. This enhancement in the metabolic economy may have been mediated by a reduction in the co-contraction from upper limb muscles. Trial registration: ClinicalTrails.gov NCT03096964

The benefits of drafting for elite marathon runners are intuitive, but the quantitative energetic and time savings are still unclear due to the different methods used for converting aerodynamic drag force reductions to gross metabolic power savings. Further, we lack a mechanistic understanding of the relationship between aerodynamic drag forces and ground reaction forces (GRF) over a range of running velocities. Here, we quantified how small horizontal impeding forces affect gross metabolic power and GRF over a range of velocities in competitive runners. In three sessions, 12 runners completed six 5-min trials with 5 min of recovery in-between. We tested one velocity per session (12, 14 and 16 km/h), at three horizontal impeding force conditions (0, 4 and 8 N) applied at the waist of the runners. On average, gross metabolic power increased by 6.13% per 1% body weight of horizontal impeding force but the increases varied considerably between individuals (4.17-8.14%). With greater horizontal impeding force, braking GRF impulses decreased while propulsive GRF impulses increased but the impulses were not related to individual changes in gross metabolic power. Combining our findings with those of previous aerodynamics studies, we estimate that for a solo runner (52 kg) at 2-hour marathon pace, overcoming aerodynamic drag force (1.39% BW) comprises 7.8% of their gross metabolic power and drafting can save between 3 min 42 s and 5 min 29 s.

Background: Training load and adequate recovery have been identified as essential elements to improve wellbeing and performance in team sports and avoid non-functional overreaching and overtraining. Objective: This cohort study sought to analyze the stress and recovery perceptions, creatine kinase levels (CK), and vertical jump performance of volleyball athletes at different training times during a championship preseason. Methods: Thirteen high-level male volleyball players (23.80 ± 5.40 years, 91.50 ± 8.80 kg, and 193.10 ± 6.40 cm) completed the RESTQ-Sport questionnaire on stress and recovery perception, and blood samples were collected to evaluate CK levels. These measures were performed six times over 16 weeks, while jumps such as squat jump (SJ), countermovement jump (CMJ), and countermovement jump arm (CMJA) were performed at three of those times for specific performance evaluation. Results: The stress perception and recovery perception indices increased and decreased, respectively, in the precompetitive phase, while CK levels presented an initial rise, maintenance over the training period, and a drop. Vertical jump heights increased significantly throughout the preparatory period regardless of the type of jump. In all training phases, CMJA values exceeded CMJ and SJ values, and CMJ values exceeded SJ values. Conclusions: Positive adaptations were elicited by training stimuli, resulting in improvements in performance. Conversely, load training variables indicated higher levels of stress and muscle damage, together with lower perceptions of recovery during the championship preseason.

Diniz, R, Del Vecchio, FB, Schaun, GZ, Oliveira, HB, Portella, EG, da Silva, ES, Formalioni, A, Campelo, PCC, Peyré-Tartaruga, LA, and Pinto, SS. Kinematic comparison of the roundhouse kick between taekwondo, karate, and muaythai. J Strength Cond Res XX(X): 000-000, 2018-The roundhouse kick (RHK) is frequently executed in taekwondo, karate, and muaythai because of its high technical effectiveness during combat. The purpose of this study was to compare kinematic characteristics during RHK performance between taekwondo, karate, and muaythai athletes. Forty-seven male athletes (25.5 ± 4.7 years, 1.75 ± 0.1 m, and 75.8 ± 11.5 kg) volunteered to participate (taekwondo: 17; karate: 15; and muaythai: 15). Self-selected distance from target, mean and peak fifth metatarsus linear velocity (LV5mean; LV5peak), mean and peak hip (HAVmean; HAVpeak) and knee (KAVmean; KAVpeak) angular velocities, as well as target linear acceleration (TLA) were analyzed with a 3D video motion analysis system. Comparisons between modalities were performed with 1-way analysis of variances and Bonferroni's post hoc test (α = 0.05). Self-selected distance was lower in muaythai compared with taekwondo and karate (p < 0.001). Also, karate had greater LV5mean compared with muaythai (p = 0.001), and muaythai showed higher HAVmean than karate (p = 0.011). In addition, HAVpeak was greater in muaythai than in taekwondo and karate (p < 0.001). No differences were found for KAVmean, KAVpeak, and TLA. Although it is similarly described between modalities, RHK showed distinct kinematic characteristics between taekwondo, karate, and muaythai. Based on these results, coaches and athletes can improve their RHK technique according to the specificities of each combat sport. Specifically, it is suggested that combat strategies should aim to increase the distance from the opponent during combat for muaythai athletes, whereas taekwondo and karate athletes should focus on decreasing it.