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To cite this article: (2014) Day 1. Free Communications – Biomechanics, Journal of Sports Sciences, 32:sup2, s18-s21, DOI:
10.1080/02640414.2014.968370
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Journal of Sports Sciences, 2014
Vol. 32, Supplement 2, s18–s21, http://dx.doi.org/10.1080/02640414.2014.968370
1
Universiti Teknologi Malaysia and 2Universiti Pendidikan
1
Sultan Idris Northumbria University and 2University Medical Center
*Corresponding author: emyroll@gmail.com Groningen, University of Groningen
*Corresponding author:
glyn.howatson@northumbria.ac.uk
In general, athletes with patellofemoral pain syndrome
@GlynHowatson
(PFPS) were assumed to have less postural control
ability compared to healthy athletes. However, this
assumption was not validated in static postural control Unilateral strength training increases strength not only
(SPC). Therefore, the SPC profiles of athletes with in the exercised but also in the non-exercised, contral-
PFPS and healthy athletes were compared using a ateral homologous muscle. This phenomenon (cross-
60-s Bilateral Romberg Protocol on Triangle Balance education) provides a promising strategy for patient
Platform, known as BT3 (Hurlabs, Tampere, groups to strengthen the affected limb by training the
Finland). This study was approved by ethic committee non-affected limb. The magnitude of cross-education
of Faculty Sports Science and Coaching, Universiti is modest (~10%). Previously, we hypothesised that
Pendidikan Sultan Idris, Tanjong Malim, Perak, viewing the exercising limb in a mirror could augment
Malaysia. All the participants in this study were the strength transfer by modulating cortical and corti-
Malaysian junior athletes from three types of sports cospinal pathways. Consequently, as a first step to test
(rugby, soccer and field hockey). There were 27 ath- this concept, the aim was to examine the corticospinal
letes with PFPS (age = 14.59 ± 1.28 years, and cortical responses with and without viewing a
height = 161.96 ± 9.54 cm, mass = 54.92 ± mirror: (1) at rest and (2) during a forceful shortening
11.42 kg, BMI = 20.65 ± 2.20) and 20 healthy athletes contraction. Following ethical approval 22 males and
(age = 13.3 ± 0.92 years, height = 168.05 ± 3.47 cm, 5 females (mean age, height and mass of 27 years,
mass = ± 59.9 ± 7.33 kg, BMI = 21.22 ± 2.79). The 1.76 m and 76.0 kg, respectively) participated in the
participants were asked to perform three trials of 60-s investigation. Each participant completed four condi-
Bilateral Romberg Test with eyes-opened and eyes- tions in a random order: at rest and during concentric
closed conditions, along with 60-s rest intervals. contractions (at 60% maximal voluntary contraction)
Postural control data were collected using postural of the right wrist flexors, with and without viewing a
score (C90 area), which represented the amount of mirror. During the mirror condition, a reflection of
sways. The data were analysed using ANOVA with the right hand gave the illusionary view of the left
η2 calculations. The sway area in both the groups hand, whereas neither hand was visible during the
showed no significant difference in eyes-opened con- no-mirror condition. Transcranial magnetic brain
dition (F1,45 = 1.460, P = 0.233, η2p = 0.031) and eyes- stimulation was used to examine corticospinal excit-
closed condition (F1,45 = 0.009, P = 0.924, ability, and short-interval intracortical inhibition
η2p = 0.000). This demonstrated that PFPS athletes (SICI) of the “ipsilateral” (right) primary motor cortex
could compensate and limit the disturbance on their (M1); these responses were recorded at the left flexor
SPC by adjusting other parts of bodies to control the carpi radialis (FCR). Repeated measures ANOVA
postural sway. Future studies are advised to compare were used to examine the differences between the
the biomechanical and musculoskeletal ability conditions. A twofold increase in corticospinal excit-
between athletes and normal population who experi- ability during contractions was observed, but there
ence PFPS within the framework of rehabilitation was no mirror effect. However, there was reduction
medicine. (P = 0.023) in SICI when viewing the mirror image of
the contracting wrist in comparison with the no-mir- Therefore, it is reasonable to postulate that females
ror contraction condition (46% ± 18 vs. 38% ± 15, alter their running technique when unsupported by
respectively). Viewing the contracting right wrist in a means of reducing thoracic rotation to avoid breast
mirror modulated a specific intracortical circuit, SICI, discomfort. Additionally, inadequate breast support
in the ipsilateral right M1. Attenuation of SICI, with- may be detrimental to running performance.
out changes in corticospinal excitability, appears to be Spearman’s ranked correlations found strong, highly
associated with movement initiation and action obser- significant correlations between thoracic rotation and
vation by viewing a mirror. This implies that the mag- mediolateral nipple displacement (braless: rs = 0.69,
nitude of intracortical inhibition is diminished when P ≤ 0.01; Bra A: rs = 0.63, P ≤ 0.01; Bra B: rs = 0.91,
viewing a reflected image of the contracting right hand P ≤ 0.01; Bra C: rs = 0.83, P ≤ 0.01). Moderate yet
and creates the illusion that the resting left hand is highly significant correlations were also found with
moving. As an initial step, this conceptually lends anteroposterior nipple displacement (braless: rs =
support to the hypothesis that the increased sensory 0.68, P ≤ 0.01; Bra A: rs = .271, P = ≥ 0.05; Bra B:
feedback provided by a mirror could augment contral- rs = .51, P ≤ 0.01; Bra C: rs = 0.57, P ≤ 0.01). It is
ateral strength improvement. unclear from the statistics whether breast kinematics
Downloaded by [Universiti Teknologi Malaysia] at 17:19 29 November 2014
Exercise has a number of benefits that relate specifi- D1.S2.5(4). The influence of changes in
cally to females. Therefore it is concerning that friction during turning on clay court
breast discomfort and excessive breast movement surfaces
remain major barriers to activity, despite knowledge
that the sports bra reduces both. Whilst an emerging CHELSEA STARBUCK1*, SHARON
body of research suggests that varying breast support DIXON1, VICTORIA STILES1, DANIEL
results in changes in running mechanics (Scurr et al., URA2 & MATT CARRE2
2010, Journal of Sports Sciences, 14, 1103–1109;
White, 2013, unpublished PhD thesis), this notion 1
University of Exeter and 2Sheffield University
has not been well investigated with reference to the *Corresponding author: cstarbuck@marjon.ac.uk
upper body. Thoracic rotation is of interest since it
has been suggested that elimination of this would
lead to inefficient gait (Kumar, 2004, Ergonomics, On low-friction tennis surfaces such as clay, players
47, 370–415). The purpose of this investigation was are frequently observed sliding during rapid decel-
to compare thoracic rotation range of motion in erations. In addition to altering the level of sliding,
differing sports bra designs during running. surface friction properties influence tennis players’
Following institutional ethical approval, five, physi- performance as well as injury risks. The present
cally active females (B-DD) ran overground study examined the influence of clay court frictional
(2.8 m · s−1 (±0.1 m · s−1)) whilst braless and in changes upon player response. Sixteen university-
three breast-support conditions. Data from five suc- level tennis players (19.93 ± 0.96 years,
cessful trials were collected with 6 Oqus Motion 1.74 ± 0.10 m and 66.75 ± 10.36 kg) volunteered
Capture cameras (250 Hz) using markers attached for the current study approved by the institutional
to the nipples and trunk. Subjective breast discom- ethics committee. On a synthetic clay surface of
fort feedback was collected using a visual analogue varying friction level, participants performed an
scale. A Friedman’s ANOVA revealed significant 180° turning movement (running approach speed
differences in thoracic range of motion between con- 3.9 ± 0.20 m · s−1) on an area above a force plate.
ditions (χ2(3) = 9.33, P = 0.02). Ratings of breast Lower limb kinematic (Peak Performance
discomfort also decreased in supported conditions in Technologies, 120 Hz) and force (AMTI, 960 Hz)
comparison with braless. Although Spearman’s data were collected. To adjust friction levels, the
ranked correlations found no relationship between volume of sand above the force plate was altered
the two, these findings do not indicate causality. (kg · m−2 surface area). Ten randomised trials were
s20 Day 1. Free Communications – Biomechanics
collected for each condition: baseline (12 kg · m−2), been investigated. This study examined the elec-
reduction in friction 1 (R1, 16 kg · m−2) and reduc- tromyography (EMG) that is generated during
tion in friction 2 (R2, 20 kg · m−2). An ANOVA OG, MT and NMT whilst walking, jogging and
with repeated measures and post-hoc Tukey tests running at matched velocities. Eleven healthy
were conducted to identify differences in friction males (23.8 ± 3.7 years, 1.80 ± 0.03 m,
level (P < 0.05). Greater sliding distances (effect 80.8 ± 7.3 kg) were recruited. EMG surface elec-
size, ES = 0.355, P = 0.008) were observed for the trodes were placed over the rectus femoris (RF),
lowest friction condition (R2; 0.23 ± 0.16 m) com- semitendinosus (ST), tibialis anterior (TA) and
pared to the baseline (0.17 ± 0.12 m) and R1 soleus (SL) muscles of the participant’s right leg
(0.18 ± 0.13 m) conditions. The R2 condition in accordance with SENIAM (surface electromyo-
(0.34 ± 0.09 s) produced later peak knee flexion graphy for the non-invasive assessment of mus-
compared to the baseline (0.31 ± 0.07 s; cles) recommendations. Participants walked,
ES = 0.270, P = 0.023). Lower vertical peak load- jogged and ran along a 40-m track at a self-
ing rate (LR) occurred during the R2 condition selected constant velocity whilst instantaneous
(135.52 ± 23.16 BW · s−1) compared to R1 velocity was recorded at 100 Hz using a wearable
(147.67 ± 25.77 BW · s−1; ES = 0.345,
Downloaded by [Universiti Teknologi Malaysia] at 17:19 29 November 2014
total-body responses to exercise. There may be ANOVA showed statistical main effects for inten-
issues of obtaining reliable technique for novice sity, and skill level however was superseded by the
participants, hence difficulties interpreting physio- interaction (F2.6,49.65 = 4.903, P < 0.01). Large
logical and biomechanics responses. Stroke length effect sizes (range d = 2.5–3.7) were seen between
is used to assess reliability of performance during skill and stroke length per intensity. The results
the drive phase (Ng et al., 2013, Journal of Applied indicated that the stroke length of novice and
Biomechanics, 29, 180–187). Maximising stroke skilled rowers was reliable relative to increasing
length is considered important to effective techni- exercise intensities. Within-participant coefficient
que, whilst decreasing stroke length could indicate of variation suggests greater consistency for skilled
fatigue. The purpose was to examine the reliability participants (CV range: 0.6%–4.28% and 0.36%–
of stroke length during the drive phase of ergometer 1.23%, novice vs. skilled, respectively). Effect sizes
rowing across increasing intensities with partici- indicated meaningful differences in stroke length
pants of differing skill levels. Fourteen male between groups, suggesting a possible marker for
unskilled (age 26 ± 4.8 years; mass 78.4 ± 9.5 kg; technique. These results indicate that a consistent
stature 1.78 ± 6.07 m) and seven male skilled (age rowing stroke is achievable for skilled and unskilled
27.7 ± 4.8 years, mass 83.9 ± 7.2 kg, stature rowers, suggesting a rowing ergometer is a useful
1.83 ± 5.57 m) participants gave informed consent. and reliable tool to assess physiological responses,
Ethical approval was granted by the university such as economy of exercise and biomechanical
research ethics committee. An 8-camera Vicon quantities such as kinematics and internal work.