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Does high-intensity running to fatigue influence lower limb injury risk?

Hannah Rice, Chelsea Starbuck Orcid Logo, Jasmin Willer, Sam Allen, Christopher Bramah, Richard Jones, Lee Herrington, Jonathan Folland

Journal of Science and Medicine in Sport

Swansea University Author: Chelsea Starbuck Orcid Logo

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DOI (Published version): 10.1016/j.jsams.2024.08.205

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ObjectivesThe aim of this study was to quantify changes in peak bending moments at the distal tibia, peak patellofemoral joint contact forces and peak Achilles tendon forces during a high-intensity run to fatigue at middle-distance speed.DesignObservational study.Methods16 high-level runners (7 fema...

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Published in: Journal of Science and Medicine in Sport
ISSN: 1440-2440
Published: Elsevier BV 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa67845
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first_indexed 2024-09-26T14:33:12Z
last_indexed 2024-09-26T14:33:12Z
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fullrecord <?xml version="1.0" encoding="utf-8"?><rfc1807 xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema"><bib-version>v2</bib-version><id>67845</id><entry>2024-09-26</entry><title>Does high-intensity running to fatigue influence lower limb injury risk?</title><swanseaauthors><author><sid>b12b936789e5be3976b2f2c1c8988d4c</sid><ORCID>0000-0001-6266-2876</ORCID><firstname>Chelsea</firstname><surname>Starbuck</surname><name>Chelsea Starbuck</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2024-09-26</date><deptcode>EAAS</deptcode><abstract>ObjectivesThe aim of this study was to quantify changes in peak bending moments at the distal tibia, peak patellofemoral joint contact forces and peak Achilles tendon forces during a high-intensity run to fatigue at middle-distance speed.DesignObservational study.Methods16 high-level runners (7 female) ran on a treadmill at the final speed achieved during a preceding maximum oxygen uptake test until failure (~3 min). Three-dimensional kinetics and kinematics were used to derive and compare tibial bending moments, patellofemoral joint contact forces and Achilles tendon forces at the start, 33 %, 67 % and the end of the run.ResultsAverage running speed was 5.7 (0.4) m·s−1. There was a decrease in peak tibial bending moments (−6.8 %, p = 0.004) from the start to the end of the run, driven by a decrease in peak bending moments due to muscular forces (−6.5 %, p = 0.001), whilst there was no difference in peak bending moments due to joint reaction forces. There was an increase in peak patellofemoral joint forces (+8.9 %, p = 0.026) from the start to the end of the run, but a decrease in peak Achilles tendon forces (−9.1 %, p &lt; 0.001).ConclusionsRunning at a fixed, high-intensity speed to failure led to reduced tibial bending moments and Achilles tendon forces, and increased patellofemoral joint forces. Thus, the altered neuromechanics of high-intensity running to fatigue may increase patellofemoral joint injury risk, but may not be a mechanism for tibial or Achilles tendon overuse injury development.</abstract><type>Journal Article</type><journal>Journal of Science and Medicine in Sport</journal><volume>0</volume><journalNumber/><paginationStart/><paginationEnd/><publisher>Elsevier BV</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>1440-2440</issnPrint><issnElectronic/><keywords>Musculoskeletal modelling; Overuse injury; Running gait; Neuromechanics; Kinetics</keywords><publishedDay>1</publishedDay><publishedMonth>8</publishedMonth><publishedYear>2024</publishedYear><publishedDate>2024-08-01</publishedDate><doi>10.1016/j.jsams.2024.08.205</doi><url/><notes/><college>COLLEGE NANME</college><department>Engineering and Applied Sciences School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>EAAS</DepartmentCode><institution>Swansea University</institution><apcterm>Another institution paid the OA fee</apcterm><funders>No external financial support</funders><projectreference/><lastEdited>2024-10-14T12:42:08.5944489</lastEdited><Created>2024-09-26T15:29:58.0479248</Created><path><level id="1">Faculty of Science and Engineering</level><level id="2">School of Engineering and Applied Sciences - Sport and Exercise Sciences</level></path><authors><author><firstname>Hannah</firstname><surname>Rice</surname><order>1</order></author><author><firstname>Chelsea</firstname><surname>Starbuck</surname><orcid>0000-0001-6266-2876</orcid><order>2</order></author><author><firstname>Jasmin</firstname><surname>Willer</surname><order>3</order></author><author><firstname>Sam</firstname><surname>Allen</surname><order>4</order></author><author><firstname>Christopher</firstname><surname>Bramah</surname><order>5</order></author><author><firstname>Richard</firstname><surname>Jones</surname><order>6</order></author><author><firstname>Lee</firstname><surname>Herrington</surname><order>7</order></author><author><firstname>Jonathan</firstname><surname>Folland</surname><order>8</order></author></authors><documents/><OutputDurs/></rfc1807>
spelling v2 67845 2024-09-26 Does high-intensity running to fatigue influence lower limb injury risk? b12b936789e5be3976b2f2c1c8988d4c 0000-0001-6266-2876 Chelsea Starbuck Chelsea Starbuck true false 2024-09-26 EAAS ObjectivesThe aim of this study was to quantify changes in peak bending moments at the distal tibia, peak patellofemoral joint contact forces and peak Achilles tendon forces during a high-intensity run to fatigue at middle-distance speed.DesignObservational study.Methods16 high-level runners (7 female) ran on a treadmill at the final speed achieved during a preceding maximum oxygen uptake test until failure (~3 min). Three-dimensional kinetics and kinematics were used to derive and compare tibial bending moments, patellofemoral joint contact forces and Achilles tendon forces at the start, 33 %, 67 % and the end of the run.ResultsAverage running speed was 5.7 (0.4) m·s−1. There was a decrease in peak tibial bending moments (−6.8 %, p = 0.004) from the start to the end of the run, driven by a decrease in peak bending moments due to muscular forces (−6.5 %, p = 0.001), whilst there was no difference in peak bending moments due to joint reaction forces. There was an increase in peak patellofemoral joint forces (+8.9 %, p = 0.026) from the start to the end of the run, but a decrease in peak Achilles tendon forces (−9.1 %, p < 0.001).ConclusionsRunning at a fixed, high-intensity speed to failure led to reduced tibial bending moments and Achilles tendon forces, and increased patellofemoral joint forces. Thus, the altered neuromechanics of high-intensity running to fatigue may increase patellofemoral joint injury risk, but may not be a mechanism for tibial or Achilles tendon overuse injury development. Journal Article Journal of Science and Medicine in Sport 0 Elsevier BV 1440-2440 Musculoskeletal modelling; Overuse injury; Running gait; Neuromechanics; Kinetics 1 8 2024 2024-08-01 10.1016/j.jsams.2024.08.205 COLLEGE NANME Engineering and Applied Sciences School COLLEGE CODE EAAS Swansea University Another institution paid the OA fee No external financial support 2024-10-14T12:42:08.5944489 2024-09-26T15:29:58.0479248 Faculty of Science and Engineering School of Engineering and Applied Sciences - Sport and Exercise Sciences Hannah Rice 1 Chelsea Starbuck 0000-0001-6266-2876 2 Jasmin Willer 3 Sam Allen 4 Christopher Bramah 5 Richard Jones 6 Lee Herrington 7 Jonathan Folland 8
title Does high-intensity running to fatigue influence lower limb injury risk?
spellingShingle Does high-intensity running to fatigue influence lower limb injury risk?
Chelsea Starbuck
title_short Does high-intensity running to fatigue influence lower limb injury risk?
title_full Does high-intensity running to fatigue influence lower limb injury risk?
title_fullStr Does high-intensity running to fatigue influence lower limb injury risk?
title_full_unstemmed Does high-intensity running to fatigue influence lower limb injury risk?
title_sort Does high-intensity running to fatigue influence lower limb injury risk?
author_id_str_mv b12b936789e5be3976b2f2c1c8988d4c
author_id_fullname_str_mv b12b936789e5be3976b2f2c1c8988d4c_***_Chelsea Starbuck
author Chelsea Starbuck
author2 Hannah Rice
Chelsea Starbuck
Jasmin Willer
Sam Allen
Christopher Bramah
Richard Jones
Lee Herrington
Jonathan Folland
format Journal article
container_title Journal of Science and Medicine in Sport
container_volume 0
publishDate 2024
institution Swansea University
issn 1440-2440
doi_str_mv 10.1016/j.jsams.2024.08.205
publisher Elsevier BV
college_str Faculty of Science and Engineering
hierarchytype
hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Engineering and Applied Sciences - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Engineering and Applied Sciences - Sport and Exercise Sciences
document_store_str 0
active_str 0
description ObjectivesThe aim of this study was to quantify changes in peak bending moments at the distal tibia, peak patellofemoral joint contact forces and peak Achilles tendon forces during a high-intensity run to fatigue at middle-distance speed.DesignObservational study.Methods16 high-level runners (7 female) ran on a treadmill at the final speed achieved during a preceding maximum oxygen uptake test until failure (~3 min). Three-dimensional kinetics and kinematics were used to derive and compare tibial bending moments, patellofemoral joint contact forces and Achilles tendon forces at the start, 33 %, 67 % and the end of the run.ResultsAverage running speed was 5.7 (0.4) m·s−1. There was a decrease in peak tibial bending moments (−6.8 %, p = 0.004) from the start to the end of the run, driven by a decrease in peak bending moments due to muscular forces (−6.5 %, p = 0.001), whilst there was no difference in peak bending moments due to joint reaction forces. There was an increase in peak patellofemoral joint forces (+8.9 %, p = 0.026) from the start to the end of the run, but a decrease in peak Achilles tendon forces (−9.1 %, p < 0.001).ConclusionsRunning at a fixed, high-intensity speed to failure led to reduced tibial bending moments and Achilles tendon forces, and increased patellofemoral joint forces. Thus, the altered neuromechanics of high-intensity running to fatigue may increase patellofemoral joint injury risk, but may not be a mechanism for tibial or Achilles tendon overuse injury development.
published_date 2024-08-01T12:42:07Z
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score 11.036706

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