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Can we modify maximal speed running posture? Implications for performance


and hamstring injuries management

Article  in  International Journal of Sports Physiology and Performance · July 2021

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Mendiguchia et al. 2021 – Int J Sport Physiol Perf – Changing maximal speed running posture

Can we modify maximal speed running posture?


Implications for performance and hamstring injuries management
Jurdan MENDIGUCHIA1, Adrian CASTAÑO-ZAMBUDIO2, Pedro JIMENEZ-REYES2, Jean–Benoît MORIN3, Pascal EDOUARD3,4,5, Filipe
CONCEIÇÃO6,7, Jonas DODOO8, Steffi L. COLYER9,10

1
Department of Physical Therapy, ZENTRUM Rehab and Performance Center, Barañain, Spain
2
Centre for Sport Studies, Rey Juan Carlos University, Madrid, Spain
3
Inter-university Laboratory of Human Movement Biology (LIBM EA 7424), University of Lyon, University Jean Monnet, F-42023. Saint Etienne, France
4
Department of Clinical and Exercise Physiology, Sports Medicine Unity, University Hospital of Saint-Etienne, Faculty of medicine, Saint-Etienne, France
5
Medical Commission, French Athletics Federation (FFA), Paris France
6
Center of Research, Education, Innovation and Intervention in Sport, Faculty of Sports, University of Porto, Portugal
7
LABIOMEP - Porto Biomechanics Laboratory, University of Porto, Portugal
8
High Performance coaching and conditioning, Speedworks training. Loughborough, Leicestershire. England
9
Department for Health, University of Bath, Bath, UK.
10
CAMERA - Centre for the Analysis of Motion, Entertainment Research and Applications, University of Bath, Bath, UK.

Correspondence: Jurdan Mendiguchia, Department of Physical Therapy, ZENTRUM Rehab and Performance center, Calle B Nave 23 (Polígono
Barañain) 31010 Barañain, Spain - Tel: 34622822253 - Email: jurdan24@hotmail.com

This article is an accepted version for authors’ homepage of this work published in the
International Journal of Sports Physiology and Performance

ABSTRACT
Purpose: Sprint kinematics have been linked to hamstring injury and performance. This study aimed to examine if a
specific 6-week multimodal intervention, combining lumbopelvic control and running technique exercises, induced
changes in pelvis and lower limb kinematics at maximal speed and improved sprint performance.
Methods: Healthy amateur athletes were assigned to control (CG) or intervention group (IG). A sprint test with three-
dimensional kinematic measurements was performed before (PRE) and after (POST) 6 weeks of training. IG program
included 3 weekly sessions integrating coaching, strength and conditioning, and physical therapy approaches (e.g.
manual therapy, mobility, lumbopelvic control, strength and sprint “front-side mechanics” oriented drills).
Results: Analyses of variance showed no between-group differences at PRE. At POST, intra-group analyses showed
PRE-POST differences for the pelvic (sagittal and frontal planes) and thigh kinematics and improved sprint
performance (split times) for the IG only. Specifically, IG showed (i) a lower anterior pelvic tilt (APT) during the late
swing phase, (ii) greater pelvic obliquity on the free-leg side during the early swing phase, (iii) higher vertical position
of the front-leg knee, (iv) an increase in thigh angular velocity and thigh retraction velocity, (v) lower between-knees
distance at initial contact, and (vi) a shorter ground contact duration. Inter-group analysis revealed disparate effects
(possibly to very likely) in the most relevant variables investigated.
Conclusion: The 6-week multimodal training program induced clear pelvic and lower limb kinematic changes during
maximal speed sprinting. These alterations may collectively be associated with reduced risk of muscle strain and were
concomitant with significant sprint performance improvement.

KEYWORDS: Pelvic tilt; sprint performance; sprint kinematics; hamstring strain; sprint mechanics; front-side mechanics

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Mendiguchia et al. 2021 – Int J Sport Physiol Perf – Changing maximal speed running posture

1. Introduction

Hamstring strain injuries (HSI) remain highly APT would reduce the tensile strength of the
prevalent and represent a significant burden in proximal region of the most injured muscle (i.e.
sports involving high-speed running1–4. Despite BF) during high-speed running (HSR).
eccentric focused strength training having been Recently, we showed a change in pelvic
consistently proposed as a successful prevention kinematics (i.e. APT decrease) during walking
method, HSI rates have not improved over the after 6 weeks of a multimodal training
last 40 years3,4. Contrary to what has been done intervention (manual therapy, mobility,
in other pathologies such as anterior cruciate lumbopelvic control and strength) specifically
ligament5 or groin pain6, no studies have been designed to correct and decrease APT and
published in which the main injury mechanism associated lumbar lordosis11. However, it is
has been biomechanically corrected. Thus, there necessary to test whether this program would be
is a need to explore variables other than efficient when transferred to sprint-specific APT,
eccentric strength, including factors such as since during sprinting, similar hip extension but
sprinting mechanics that can potentially greater pelvic anteversion and lumbar lordosis
influence the mechanism of injury. are observed compared to walking12.
Anterior pelvic tilt (APT) have been reported to be A widely accepted technical model of sprinting,
closely related to the moments where the known as “front-side mechanics” describes how
hamstring muscle-tendon tissues face the specific posture or kinematics anterior to the
highest mechanical strain during sprinting7. center of mass are associated with better sprint
Theoretically, a greater APT would superiorly performance13. Specifically, front-side
translate the ischial tuberosity resulting in a mechanics seeks to maximize leg motions
greater active lengthening and passive tension occurring in front of the vertical torso line while
demand of the posterior thigh musculature due minimizing actions occurring behind that line
to a greater moment arm derived from the throughout the sprint cycle 13. With specific focus
relative hip flexion generated8. The on maximum speed sprinting, this technical
aforementioned arguments may explain the model is characterized by maintaining an
association found between APT and HSI risk in upright trunk and a neutral pelvic position that
different prospective studies8,9. Assuming that allows reaching a higher knee lift position
during maximal speed sprinting the biceps during the swing that would allow a subsequent
femoris faces a greater elongation at the active leg motion to “punch” the swing leg into
proximal level10 , the level of strain experienced the ground as well as a reduced touchdown
may be directly influenced by the APT distance (TDd), resulting in lower braking
magnitude, among other factors. Thus, it seems antero-posterior and higher vertical components
logical to expect that anatomically, a decrease in of the ground reaction forces (GRF)13–15. This

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Mendiguchia et al. 2021 – Int J Sport Physiol Perf – Changing maximal speed running posture

would allow higher overall stiffness and reduced technique program induced changes in pelvis
stance duration, which have been associated and lower limb kinematics at maximal speed.
with greater maximal sprinting speeds15. Based on our recent study showing changes in
However, this technical model and APT during gait locomotion11, we hypothesized
accompanying coaching emphasis on front-side that the multimodal training program
mechanics have been primarily based on (lumbopelvic control exercises + sprint
descriptive comparisons of elite and sub-elite technique training) proposed in this pilot study
athlete’s kinematics13 . To our knowledge, no would induce a decrease in APT together with
scientific evidence has supported the possibility changes in other biomechanical variables
of altering sprint kinematics, after a specifically during the maximum running speed phase of
designed training program aimed at improving the sprint towards a more « front-side » oriented
front-side mechanics, pelvic and trunk position sprint technical model , characterized by: a more
and in turn maximal sprint speed. upright trunk position, a higher maximum
Therefore, the aim of the present study was to vertical knee position during swing phase and
examine if a specific 6-week multimodal lower between-knees distance with shorter
intervention combined with an on-field running touchdown distance at initial contact.

2. Methods

Study design
We conducted a prospective comparative trial University of Bath Health Department Ethics
with testing sessions separated by a 6-weeks Committee (EP 18/19 027) in agreement with
period comprising an intervention program only the Declaration of Helsinki.
for IG. The present study was approved by the

Population Fifteen amateur men athletes (1.79±0.75 m,


Athletes recruitment was made based on the 77.0±7.6 kg) were recruited and gave their
following inclusion and exclusion criteria: written informed consent to participate in this
participants regularly practiced sports involving study. Athletes were assigned in a
sprinting (at least 3 times per week), none of the counterbalanced way according to the initial
athletes had previous experience in the specific sprint performance into two groups: 8 athletes in
sprint technique training, none of the athletes the control group (CG; 1.78±0.03 m, 78.9±5.8
had sustained any lower limb or lumbopelvic kg), and 7 athletes in the intervention group (IG;
injury that might impact on running mechanics 1.79±0.07 m, 75.9±9.0 kg).
during the 12 weeks prior to the intervention.

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Testing procedures
All tests were conducted at the same time of day, maximally sprint twice for 35 meters, with a 4-
from 12:00 to 16:00. During both assessments, min recovery between efforts. During these
subjects were asked to wear a pair of loose shorts attempts, the kinematic data of at least one full
and training shoes. For each session, the warm- stride during the maximum speed phase and
up consisted of 5 minutes of jogging at a self- the sprint times were collected. The Qualisys
selected pace, followed by 5 min of sprint- Track Manager (QTM) software® was used to
specific muscular warm-up dynamic exercises, record the marker positions during sprint trials,
two progressive sprints separated by 3 min of which was used alongside a single-beam timing
passive rest and two 10-meters flying sprints. system (Brower timing, Draper, UT, USA).
After warm-up, markers were placed for the Photoelectric cell gates were placed at 0, 5, 10,
three-dimensional kinematics data collection. 15, 20, 25 and 35 meters in order to assess
Once warm-up and static calibration were maximal running speed capabilities. See
completed, participants were asked to Supplementary File 1 for details.

Equipment and data acquisition


Three-dimensional kinematics were recorded anterior-superior iliac spine (ASIS), greater
using 15 optoelectronic motion analysis trochanter, medial and lateral femoral condyles,
cameras (250 Hz, Oqus, Qualisys AB, Sweden) medial and lateral malleoli, heel, first and fifth
with the sample frequency set at 200 Hz. The metatarsophalangeal joints (MTP1) and (MTP5)
cameras were strategically placed on tripods of and the hallux. Additionally, rigid clusters of four
different heights between meters 24 and 36 of markers were attached to the thigh and shank
the indoor athletics track. An overview of the segments.
described setup can be found in supplemental A static calibration trial was used to allow a
file 1. Prior to data collection, the capture kinematic model of each athlete to be
volume of approximately 10×1.1×1.5 m was constructed. Subsequently, the medial femoral
calibrated according to manufacturer’s condyle, medial malleolus and greater
guidelines. Twenty-four markers were placed trochanter markers were removed for the
bilaterally on the following lower-limb dynamic trials.
landmarks: posterior-superior iliac spine (PSIS),

Data processing
Following labelling and gap filling of Germantown, USA) where raw trajectories were
trajectories (Qualysis Track Manager v2019.3, low-pass filtered (Butterworth 2nd order, cut-off
Qualysis, Gothenburg, Sweden) data were 12 Hz derived through residual analysis). Three-
exported to Visual 3D (v6, C-Motion Inc, dimensional lower-limb joint angles (hip, knee

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Mendiguchia et al. 2021 – Int J Sport Physiol Perf – Changing maximal speed running posture

and ankle) of the ipsi- and contralateral limb projection (MVP), maximal hip flexion (MHF),
were computed as the orientation of the distal touchdown (TD) and full support (FS). Each event
segment compared to that of the proximal was defined according to specific criteria: the
segment using a X-Y-Z Cardan sequence. time at which contact with the ground is lost for
Similarly, segment orientations (pelvis, thigh the ipsilateral leg (TO); the time for maximum
and shank) were computed as the orientation of hip extension for the ipsilateral leg (MHE); time
those segments compared with the global for maximum hip flexion for swing-leg (MHF);
coordinate system. Derivatives of the filtered time at which maximum distance on the vertical
marker positions were computed using a finite axis is achieved for swing-leg knee (MVKD);
central differences method and touch-down and maximum distance on the vertical axis for the
toe-off events were computed following the centre of the pelvic segment (MVP), end of aerial
method described by Handsaker et al.16. Seven phase (TD) and the time where lateral malleolus
key events were then identified in each stride for support-leg is underneath pelvis segment
collected for every sprinting trial and used in centre (FS). The maximum instantaneous
subsequent statistical analysis: toe-off (TO), horizontal velocity of the pelvis segment was
maximal hip extension (MHE), maximal vertical also extracted as a proxy measure of maximum
knee displacement (MVKD), maximal vertical center of mass velocity.

Kinematic parameters
During the captured stride cycles, relevant the pelvic segment and the nearest contact zone
dependent variables for ipsi- and contralateral at touchdown, distance between knees (DBK) at
leg were selected for the subsequent analysis touchdown, maximum knee height (MKH) and
such as joint angles or segments orientations. ground contact times (GCT) were considered for
Additionally, TDd, defined as the distance the analysis as discrete variables.
between the vertical projection of the center of

Intervention: multimodal training


Athletes in CG were requested not to modify coaching, strength and conditioning, and
their established training routines during the physical therapy components. The full training
entire 6-week period. program is provided in the supplemental files 2
Athletes in IG underwent a multimodal training (written description) and 3 (video overview). IG
program comprising 3 sessions per week athletes were not allowed to continue their
during 6 weeks. The training program included usual training during the intervention.

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Statistical analysis
Kinematic data waveforms were temporally group differences at PRE (before 6-weeks
normalized across a single stride cycle period) whereas paired-sample t-tests were
(touchdown to touchdown). Statistical used to analyse intra-group changes between
parametric mapping (SPM) 1D open-source PRE and POST. Effect sizes (ESs) alongside
software was then used to evaluate the confidence intervals were calculated using
influence of a multimodal training approach Cohen’s d standardised differences. Effects were
using a SPM 1D paired t-test establishing the deemed to be practically meaningful if the 95%
critical threshold at α =0.05. If the SPM{t} curve confidence interval did not cross zero (in either
exceeded this critical threshold when direction). Only results with ES≥0.8, this value
comparing post assessment data, kinematics being set as large, are highlighted in
were deemed to be significantly different to the Supplemental file 4 and then detailed in
pre-test at these specific nodes. Data from all Supplemental file 5.
successfully collected strides were used for the
analysis. The smallest worthwhile change (SWC) [0.2
To obtain a more general picture of the effects of multiplied by the between-subject standard
the intervention and to minimise possible deviation], based on Cohen ES principle19 was
distortion caused by temporal normalisation, a used to calculate inter-group differences based
discrete analysis of the kinematic variables was on the difference experienced by both groups in
also performed in JASP (version 0.12.2) for the the most representative variables of running
key events described above17,18. kinematics. Quantitative of the actual effect
Values were reported as mean ± standard were assessed qualitatively as follows: 0.5%,
deviation (SD). Statistical significance was most unlikely; 0.5–5%, very unlikely; 5–25%,
established at the p<0.05 level. Independent- unlikely; 25–75%, possibly; 75–95%, likely; 95–
sample t-tests were conducted to examine inter- 99%, very likely; and .99%, most likely.

3. Results
Primary outcome: sprint kinematics
No significant differences were found between variables revealed a large number of significant
groups at PRE when analysing segments and differences regarding the angle of the joints or
joints curves by SPM or independent t-test. the orientation of these segments at the defined
Once the 6-weeks period was concluded (at key moments (see Supplemental files 4 and 5
POST), the intra-group SPM analysis revealed for a detailed analysis). The differences for the
differences for the pelvic and thigh segments in most representative variables are summarized
the sagittal plane for the IG (Figure 1), while not for better understanding in Table 1 and visually
for CG. Additional discrete analysis for these recreated in Figure 2.

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Figure 1. Pelvic tilt, pelvic obliquity and thigh orientation in the sagittal plane on SPM Analysis. Dark lines and
shadows refer to mean and SD PRE values for the intervention group while red lines refer to POST values. Vertical
dashed lines represent toe off moments for both ipsi and contralateral limbs (black and red, respectively). Horizontal
red dashed lines represent the statistical significance threshold between both moments.

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Table 1. Intragroup differences for the most representative variables of running kinematics investigated.
Data are expressed as mean and standard deviation (in brackets). Grey tones indicate ES values greater than 0.8. *: p<0.05; **: p<0.01
Individual responses should be interpreted as absolute increase/decrease (black and grey, respectively).
MVP: Maximal vertical projection; Late Swing APT: Mean APT across 80-95% stride; TD: Touchdown; MKVD: Maximal knee vertical displacement;
DBK: Distance between knees

Figure 2. Visual representation of the identified changes between PRE and POST for the intervention group.
MVP: Maximal vertical; MKVD: Maximal knee vertical displacement

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1
Furthermore, only the IG significantly decreased ; ES: 1.13 (LL: 0.14; UL: 2.08); p:0.029],
the DBK -indicator of the amount of “leg average thigh angular retraction velocity (PRE:
recovery”- at touchdown [PRE: 0.28 ±0.06 m to 301.8 ±52.4 °⸱s-1 to POST: 354.9 ±50.3 °⸱s-1;
POST: 0.16 ±0.03m; ES: -2.02 (LL: -3.34; UL: - ES: 1.44 (LL: 0.33; UL: 2.51); p:0.009] and
0.66); p:0.002], significantly increased the significantly reduced ground contact time
maximum knee height reached [PRE: 0.68 (0.109 ±0.008 s to 0.102 ±0.008 s; ES: -0.96
±0.06 m to POST: 0.77 ±0.08 m; ES: 3.05 (LL: (LL: -1.85; UL: -0.03); p<0.05).
1.20; UL: 4.68); p<0.001], average thigh Kinematic inter-group differences for the most
angular velocity during the entire gait cycle relevant kinematic variables can be observed in
[PRE: 388.7 ±17.6 °⸱s-1 to POST: 411.7 ±9.2 °⸱s- Figure 3.

Figure 3. Efficiency of the multimodal program on the Intervention Group (IG) compared to Control Group (CG) over
the most relevant kinematic variables investigated (bars indicate uncertainty in the true mean changes with 95%
confidence intervals). Trivial areas were calculated from the smallest worthwhile change (SWC).
DBK: Distance between knees; MVP: Maximal vertical projection; APT: Anterior Pelvic Tilt; Late Swing APT: Mean APT
across 80-95% stride; TD: Touchdown; MKVD: Maximal knee vertical displacement

Secondary outcome: sprint performance


No significant differences between IG and CG analysed. The CG showed no significant
were found at PRE for any of the split times differences for any of the split times between

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PRE and POST, whereas statistically significant 35 (p:0.015), 0-10 (p:0.011), 0-20 (p:0.023)
decreases (p<0.05) were found for 0-5 and 0-35 (p:0.029) split times in the IG group
(p:0.013), 5-10 (p:0.015), 10-15 (p:0.049), 25- (Table 2).

Table 2. Changes in sprint performance between PRE and POST.


Intra-group significant differences from PRE to POST training: *: p<0.05; **: p<0.01

4. Discussion
The main findings of the present study validate sprint performance, reflected in the significant
our initial hypothesis and were, firstly, that 6- decrease in the 0-5, 5-10, 10-15, 25-35m split
week multimodal intervention combining times and 0-20m and 0-35m cumulative split
lumbopelvic control exercises with a running times recorded during the maximum sprint test,
technique program induced significant changes compared with CG during the same period of
in sagittal and frontal plane kinematics of the time.
pelvis at maximal speed. This resulted in a lower This study is, to our knowledge, the first
APT during the late swing phase and a higher showing a change in pelvic kinematics after a
pelvic obliquity on the free leg side during the multicomponent training intervention
early swing phase. Similarly, the kinematics of specifically directed to correct and decrease APT
the lower extremities were also modified at maximum running speed.
according to the front-side mechanics
principles, resulting in an increase in the Interest of the present findings for HSI risk
maximum height reached by the knee, followed management
by an increase in the thigh angular retraction One of the reasons why the prevalence of biceps
velocity, as well as a decrease in the DBK at femoris (BF) injury could be higher would be
initial contact, along with a shorter landing related, among other factors, to a greater non
distance and contact time. Finally, all these uniform elongation peak of the proximal BF
modifications were followed by a change in during the late swing phase of maximal speed

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sprinting10. Assuming strain as the major without a good underlying training and
determinant of tissue failure and considering performance structure. In summary, a
that the ipsilateral elongation peak of the BF combined intervention of lumbopelvic control
coincides with contralateral iliacus maximum exercises mixed with a running technique
stretch and the second peak pelvis anterior tilt program induced lower APT and can be
all together during late swing phase20,21, it considered one more tool within a multifactorial
seems logical to expect that a posterior tilt of the rehabilitation or prevention approach,
pelvis, as found in this study, would reduce the especially in those athletes that show excessive
suggested BF musculotendon stretch and APT and may be more susceptible to HSI.
eccentric demand, probably specifically at its
proximal region. The possible association Lower limb kinematics and performance
between the pelvic joint movements and the BF relationship
behavior could have an anatomical origin since Based on the reported results, it seems justified
this muscle is the only hamstring muscle to assume that the observed lower limb
anatomically linked to the ischial tuberosity with kinematic changes would place the IG
connections to the sacrotuberous ligament22, somewhere close to the targeted front-side
structure whose role has been proven as mechanics technical model that is theoretically
fundamental in the stabilization of the pelvis23. associated with better maximal-speed sprint
The balance between the musculature performance according to literature13–15.
functionally favoring APT iliopsoas, erector Interestingly and in contrast to the significant
spinae and the musculature counteracting it, decrease in the sagittal plane of the pelvis
such as the abdominals and gluteus during motion shown in the late swing phase (Figure 1
swing phase of HSR, seems to play a key role on and 2), we observed a significant overall
BF strain and may explain the association found increase in the frontal plane motion during
with HSI in prospective studies21,24. early swing phase (Figure 1) of maximal
However, given the intervention design of this running speed. It has been suggested that a
study, it is impossible to know whether the greater pelvis obliquity during push-off25 as
decrease in APT is caused by the multimodal observed in the present study is associated with
training intervention or is a consequence of the greater vertical GRF, which is a key determinant
process of the individual's ability to acquire the factor to reach and maintain high running
desired sprint motor skills as a function of the speed25,26. Although GRFs were not recorded in
practice related to the sprint technique this study, the changes recorded in the IG group
program. It cannot be ruled out that certain could explain the performance improvement
parts of the program have advantageous and observed on the basis of the kinematic-kinetic
additive reciprocal effects, as it stands to reason relationship described in the literature. The new
that sprinting ability cannot be improved segmental alignment is recognised by a

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reduced pelvic anteversion throughout the more vigorous scissor like action of the thighs
stride (-5º for pelvic tilt along the stride) and a (flexion-extension reversals) are necessary to
faster and more active recovery of the ipsilateral improve sprint performance27.
leg. A more upright position combined with a Parallel to an improvement in “leg switch
modified free leg offset shifts the back to front- efficiency”, the IG showed significantly higher
side mechanics in this new arrangement. As thigh angular retraction velocities as well as a
sprinting entails a sequence of segments shorter but not significant TDd (5%) and ground
positions/movements during which each contact times (6%) (Figure 2) that could be
position/movement results from the previous related to an overall more efficient impact
one and in turn influences the following one, deceleration mechanism resulting in a greater
the achievement of a higher knee position vertical GRF component. Recently, Clark et al.27
(+0.09m) offers athletes a greater potential to demonstrated that both mean thigh angular
accelerate the leg towards the ground (leg velocity and retraction velocity had a strong
retraction) given the extended range of positive linear relationship with the vertical
motion13–15. The enhanced impact-limb velocity of the lower limb at the instant of
deceleration mechanism in the IG is supported touchdown. This factor, coupled with rigid
by a significantly higher thigh angular retraction ground contact and rapid deceleration of the
velocity (+17.5% ), providing a biomechanical lower limb upon ground contact appears to be
solution to "attack the ground" vertically and decisive for the development of the specific
overcome the mechanical limitation of vertical forces needed to support faster
maximum sprinting speed imposed by the short speeds14,15,27.
stance duration requirement13–15,26. However, Translating the results of this study (~ one tenth
an active recovery of the trailing leg (scissors like of a second decrease on 0-20m and 0-30m) into
action) is required to achieve high vertical practice, and taking into account that, a 30-50
velocities on landing as part of the deceleration cm difference (~0.04-0.06 s over 20m) is
mechanism of the impact limb13. This ability is probably enough in order to be decisive in one-
identified within the front-side mechanism on-one duels in football indicating the
model based on DBK at touchdown and is suitability of this type of intervention on team
considered an indicator of "leg switch sports settings28. In summary, all the training-
efficiency"13. According to our results, the IG induced kinematic changes observed within the
presented significantly decreased distance at intervention group collectively align with the
this point (43% closer on average). different studies suggesting that forces are
Concomitantly, the fact that IG showed a higher generated proximally and must be effectively
mean thigh angular velocity supports and transmitted distally via stiff lower limb during
validate the data provided by knee separation HSR29.
and confirms that, as recently demonstrated,

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However, our results show that changes in whether similar changes are possible in female
maximal-speed sprint kinematics are possible subjects.
with training, but they do not clearly prove that
these are directly related to the performance Practical applications
improvement observed. This association should A 6-week intervention program, designed with
be taken with caution since (i) studies the goal to preserve an optimal state of the
advocating the front-side mechanics concept structures (lumbopelvic multimodal program)
use mere cross-sectional kinematic comparisons that would allow a correct execution of the field
between sprinters of different level of running technique program, showed a decrease
performance13 and (ii) other studies did not in the anterior pelvic tilt during late swing phase
confirm this association30. The fact that the of sprinting (potentially decreasing hamstring
subjects of the present study were physically strain) as well as lower limb kinematic changes
active and used to sprint but not elite could bias associated to performance improvement.
this association: it cannot be ruled out that Therefore, altering body posture during
sprint training alone could have induced sprinting could be one more strategy to use, if
performance improvements. Finally, the study indicated, to those commonly used within a
was performed only on males and further multifactorial and individualized hamstring
research is necessary in order to ascertain prevention approach and performance
enhancement.

5. Conclusion
This study showed for the first time that a speed sprinting. These alterations may
multimodal intervention combining collectively be associated with reduced tissue
lumbopelvic control exercises with a running strain (injury risk) of the hamstrings and were
technique program was able to modify the concomitant with significant sprint performance
kinematics (pelvis and lower limbs) of maximal improvement.

Acknowledgements
This study was made possible by technical support from the Department for Health, University of Bath.
The authors are grateful to Andrea Astrella from Sports Biomechanical Engineering for his illustrations
and Victor Cuadrado for his support. We would like to thank the participants of this study for their
cooperation and effort.

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Mendiguchia et al. 2021 – Int J Sport Physiol Perf – Changing maximal speed running posture

SUPPLEMENTARY FILE 1:
Schematic view of the experimental setting.

SUPPLEMENTARY FILE 2:
Multimodal intervention program

SUPPLEMENTARY FILE 3:
Link to video: https://www.youtube.com/watch?v=s1dnt7NQ8PU

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Mendiguchia et al. 2021 – Int J Sport Physiol Perf – Changing maximal speed running posture

SUPPLEMENTARY FILE 4: Summary for the intra-group differences analysis. Data are expressed as mean and standard
deviation (in brackets). Grey tones indicate ES values greater than 0.8.

SUPPLEMENTARY FILE 5: Summary of the magnitude and orientation of the significant differences reported for the
intra-group analysis
TOE-OFF MHE MHF MVKD MVP TOUCHDOWN FULL SUPPORT
Pelvic Rotation Pelvic Tilt Pelvic Tilt Pelvic Rotation
p: 0.01; Δ: -9.2%; ES: -1.24 p: 0.04; Δ: -17.0%; ES: 0.86 p: 0.06; Δ: -16.7%; ES: 0.81 p: 0.06; Δ: -50.4%; ES: -0.81
PELVIS

(LL: -2.16; UL: -0.28) (LL: 0.02; UL: 1.66) (LL: 0.02; UL: 1.59) (LL: -1.60; UL: 0.02)
Pelvic Obliquity Pelvic Obliquity
p: 0.03; Δ: 55.0%; ES: -0.99 p: 0.03; Δ: 52.3%; ES: -0.97
(LL: -1.83; UL: -0.11) (LL: -1.80; UL: -0.10)
CONTROL GROUP

Ipsilateral Hip Contralateral Hip Contralateral Hip


p: 0.05; Δ: 19.2%; ES: 0.86 p: 0.03; Δ: -6.4%; ES: 0.94 (LL: p: 0.03; Δ: -6.6%; ES: 0.97 (LL:
JOINTS

(LL: 0.02; UL: 1.66) 0.08; UL: 1.77) 0.10; UL: 1.81)
Contralateral Knee
p: 0.04; Δ: -8.5%; ES: 0.90 (LL:
0.05; UL: 1.72)
SEGMENTS
INTRA-GROUP DIFFERENCES

Pelvic Tilt Pelvic Obliquity Pelvic Tilt Pelvic Tilt Pelvic Tilt Pelvic Tilt
PELVIS

p: 0.02; Δ: -31.9%; ES: 1.22 p: 0.07; Δ: 110.2%; ES: 0.81 p: 0.06; Δ: -31.7%; ES: 0.85 p: 0.06; Δ: -38.4%; ES: 0.89 p: 0.05; Δ: -32.4%; ES: 0.91 p: 0.07; Δ: -34.5%; ES: 0.81
(LL: 0.19; UL: 2.20) (LL: 0.73; UL: 1.66) (LL: -0.05; UL: 1.70) (LL: -0.02; UL: 1.76) (LL: -0.01; UL: 1.78) (LL: -0.07; UL: 1.66)

Contralateral Knee Ipsilateral Ankle Ipsilateral Ankle Contralateral Knee Ipsilateral Hip Ipsilateral Hip Ipsilateral Ankle
p: 0.01; Δ: 10.5%; ES: -2.01 p: 0.04; Δ: -9.4%; ES: 0.99 (LL: p: 0.03; Δ: -15.0%; ES: 1.11 p: 0.03; Δ: 12.3%; ES: -1.11 p: 0.01; Δ: 101.4%; ES: -1.43 p: 0.05; Δ: -15.4%; ES: 0.95 p: 0.05; Δ: -8.8%; ES: 0.93 (LL:
(LL: -3.33; UL: -0.66) 0.04; UL: 1.88) (LL: 0.12; UL: 2.05) (LL: -2.05; UL: -0.12) (LL: -2.49; UL: -0.32) (LL: 0.01; UL: 1.83) 0.01; UL: 1.81)
Ipsilateral Ankle Contralateral Hip Contralateral Ankle Ipsilateral Knee
JOINTS
INTERVERNTION GROUP

p: 0.04; Δ: -6.3%; ES: 1.01 (LL: p: 0.03; Δ: 12.7%; ES: -1.11 p: 0.04; Δ: -12.4%; ES: 1.02 p: 0.01; Δ: 22.9%; ES: -1.78
0.05; UL: 1.92) (LL: -2.05; UL: -0.12) (LL: 0.06; UL: 1.93) (LL: -2.99; UL: -0.53)
Contralateral Knee
p: 0.01; Δ: 37.0%; ES: -3.47
(LL: -5.51; UL: -1.41)

Ipsilateral Thigh IpsilateralThigh Ipsilateral Thigh Ipsilateral Thigh Ipsilateral Thigh Contralateral Thigh Contralateral Thigh
p: 0.07; Δ: -21.4%; ES: 0.81 p: 0.04; Δ: -11.2%; ES: 0.97 p: 0.01; Δ: 14.6%; ES: 1.51 p: 0.03; Δ: -18.7%; ES: 1.05 p: 0.01; Δ: -56.0%; ES: 1.39 p: 0.03; Δ: -152.7%; ES: 1.07 p: 0.01; Δ: 90.1%; ES: 1.46
(LL: -0.08; UL: 1.65) (LL: 0.03; UL: 1.86) (LL: 0.37; UL: 2.60) (LL: 0.08; UL: 1.96) (LL: 0.30; UL: 2.43) (LL: 0.1; UL: 2.00) (LL: 0.34; UL: 2.53)
Contralateral Thigh Contralateral Thigh Contralateral Thigh Ipsilateral Shank Ipsilateral Shank Contralateral Shank
SEGMENTS

p: 0.01; Δ: 20.6%; ES: 1.50 p: 0.01; Δ: 25.7%; ES: 3.01 p: 0.02; Δ: 21.3%; ES: 1.22 p: 0.04; Δ: -10.4%; ES: 0.98 p: 0.08; Δ: -111.9%; ES: -0.8 p: 0.05; Δ: -9.0%; ES: 0.95 (LL:
(LL: 0.38; UL: 2.63) (LL: 1.19; UL: 4.82) (LL: 0.19; UL: 2.20) (LL: 0.04; UL: 1.87) (LL: -1.64; UL: 0.08) 0.02; UL: 1.83)
Ipsilateral Shank Contralateral Thigh
p: 0.59; Δ: 11.1%; ES: 0.88 p: 0.01; Δ: 18.1%; ES: 2.25
(LL: 0.88; UL: -0.03) (LL: 0.79; UL: 3.69)
Contralateral Shank
p: 0.02; Δ: 202.1%; ES: -2.00
(LL: -3.31; UL: -0.65)

Used acronyms : MHE (Maximal Hip Flexion), MKVD (Maximal Knee Vertical Displacement), MVP (Maximal Vertical Projection), MHF (Maximal Hip Flexion), LL (Lower limit), UL (Upper limit)

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