Dpto. Enfermería y Fisioterapia

Triathlon has become increasingly popular in recent years. In this discipline, maximum oxygen consumption (VO2max) is considered the gold standard for determining competition cardiovascular capacity. However, the emergence of wearable sensors (as Stryd) has drastically changed training and races, allowing for the more precise evaluation of athletes and study of many more potential determining variables. Thus, in order to discover factors associated with improved running efficiency, we studied which variables are correlated with increased speed. We then developed a methodology to identify associated running patterns that could allow each individual athlete to improve their performance. To achieve this, we developed a correlation matrix, implemented regression models, and created a heat map using hierarchical cluster analysis. This highlighted relationships between running patterns in groups of young triathlon athletes and several different variables. Among the most important conclusions, we found that high VO2max did not seem to be significantly correlated with faster speed. However, faster individuals did have higher power per kg, horizontal power, stride length, and running effectiveness, and lower ground contact time and form power ratio. VO2max appeared to strongly correlate with power per kg and this seemed to indicate that to run faster, athletes must also correctly manage their power.

Each year, 50% of runners su er from injuries. Consequently, more studies are being published about running biomechanics; these studies identify factors that can help prevent injuries. Scientific evidence suggests that recreational runners should use personalized biomechanical training plans, not only to improve their performance, but also to prevent injuries caused by the inability of amateur athletes to tolerate increased loads, and/or because of poor form. This study provides an overview of the di erent normative patterns of lower limb muscle activation and articular ranges of the pelvis during running, at self-selected speeds, in men and women. Methods: 38 healthy runners aged 18 to 49 years were included in this work. We examined eight muscles by applying two wearable superficial electromyography sensors and an inertial sensor for three-dimensional (3D) pelvis kinematics. Results: the largest di erences were obtained for gluteus maximus activation in the first double float phase (p = 0.013) and second stance phase (p = 0.003), as well as in the gluteus medius in the second stance phase (p = 0.028). In both cases, the activation distribution was more homogeneous in men and presented significantly lower values than those obtained for women. In addition, there was a significantly higher percentage of total vastus medialis activation in women throughout the running cycle with the median (25th–75th percentile) for women being 12.50% (9.25–14) and 10% (9–12) for men. Women also had a greater range of pelvis rotation during running at self-selected speeds (p = 0.011). Conclusions: understanding the di erences between men and women, in terms of muscle activation and pelvic kinematic values, could be especially useful to allow health professionals detect athletes who may be at risk of injury.

Background: The running segment of a triathlon produces 70% of the lower limb injuries. Previous research has shown a clear association between kinematic patterns and specific injuries during running. Methods: After completing a seven-month gait retraining program, a questionnaire was used to assess 19 triathletes for the incidence of injuries. They were also biomechanically analyzed at the beginning and end of the program while running at a speed of 90% of their maximum aerobic speed (MAS) using surface sensor dynamic electromyography and kinematic analysis. We used classification tree (random forest) techniques from the field of artificial intelligence to identify linear and non-linear relationships between di erent biomechanical patterns and injuries to identify which styles best prevent injuries. Results: Fewer injuries occurred after completing the program, with athletes showing less pelvic fall and greater activation in gluteus medius during the first phase of the float phase, with increased trunk extension, knee flexion, and decreased ankle dorsiflexion during the initial contact with the ground. Conclusions: The triathletes who had su ered the most injuries ran with increased pelvic drop and less activation in gluteus medius during the first phase of the float phase. Contralateral pelvic drop seems to be an important variable in the incidence of injuries in young triathletes.

Introduction: Impact force generates acceleration waves that travel through the body, and possible relationships may be exist between these acceleration waves and injuries. Several studies have analyzed the impact forces on the lower limb in healthy subjects wearing unstable shoes, but there is not accelerometric study analyzing the transmission of these impact forces along the locomotive system. The aim of the present study is to compare the acute effects of wearing unstable shoes (US) vs traditional shoes (TS), on maximum vertical acceleration, impact attenuation, cadence and stride length during gait. Methods: Fourty-three asymptomatic adults participated in the cross-sectional study. Subjects underwent gait analysis with simultaneously collecting heel and tibia peak acceleration, impact magnitude and acceleration rate, as well as shock attenuation and stride parameters (stride length, stride rate). Results: The results showed that wearing US increased cadence (10.99 steps/min; p<0.01), and decreased stride length (0.04 m; p<0.01). Additionally, an increase in maximum tibia peak acceleration, tibia impact magnitude and tibia acceleration rate were reported in the US condition compared to the TS condition, with a decrease of tibia attenuation in the US (p<0.05). Conclusion: Regarding shockwave transmission of ground reaction forces, a lower shock attenuation from the heel to the tibia was reported in the US vs TS condition. Bearing this in mind, it should be pointed that, while it is not yet clear if increased tibia acceleration is harmful to the musculoskeletal system, the US should be used with caution. / Introducción: La fuerza de impacto genera ondas de aceleración que viajan a través del cuerpo, pudiendo existir una relación entre estas ondas y determinados tipos de lesión. Varios estudios han analizado las fuerzas de impacto en el miembro inferior, en sujetos sanos empleando calzado inestable, pero no existen estudios que analicen la transmisión de las aceleraciones a lo largo del aparato locomotor. El objetivo del presente estudio es comparar los efectos agudos del uso de calzado inestable (US) frente al calzado tradicional (TS), sobre la aceleración máxima vertical, la atenuación del impacto, la cadencia y la longitud de la zancada durante la marcha. Método: Cuarenta y tres adultos asintomáticos participaron en el estudio transversal. Los sujetos fueron analizados durante la marcha con la recogida simultánea de la aceleración máxima del talón y la tibia, la magnitud del impacto y la ratio de aceleración, así como la disminución del impacto y determinados parámetros durante la zancada (longitud, frecuencia). Resultados: Los resultados mostraron que el uso de US aumentó la cadencia (10,99 pasos/min; p<0,01) y disminuyó la longitud de la zancada (0,04 m; p<0,01). Adicionalmente, se muestra un aumento en la aceleración máxima, la magnitud del impacto y la ratio de aceleración en la tibia con el calzado US en comparación con la condición de TS, con una disminución en la tibia en los US (p<0.05). Conclusión: La disminución del impacto desde el talón hasta la tibia en la condición de US frente a TS fue menor. Teniendo esto en cuenta, debe señalarse que aunque no está claro si el aumento de la aceleración de la tibia es perjudicial para el sistema musculoesquelético, los US deberían ser empleados con precaución.