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Lower Extremity Stiffness


Advanced Strength & Conditioning


  John McMahon BSc (Hons), ASCC, CSCS
Lecture Aims
• To introduce the mechanical concept of lower
  extremity stiffness and methods of calculation
• To examine how lower extremity stiffness is
  regulated during dynamic movements
• To discuss the influence of lower extremity
  stiffness on functional performance
• To explain the affect of static stretching,
  training and coaching cues on lower extremity
  stiffness
What is Stiffness?
• Stiffness describes the relationship between a
  given force and the deformation of an object
  or body (Butler et al., 2003; Brughelli and
  Cronin, 2008a)

• Hooke’s Law:
      F = kx      rearranged to     k = ∆F
                                       ∆x
• The spring constant (k) describes the stiffness
  of an ideal spring-mass-system
Compartments of Stiffness
• Lower extremity stiffness can be determined
  at various levels within the leg:

•   Tendon
•   Muscle Fibre
•   Muscle
•   Muscle-tendon-unit (MTU)
•   Joint
•   Leg
Methods of Calculating Lower
Extremity Stiffness during Dynamic
           Movements
Spring-Mass-Model (Kvert)
Spring-Mass-Model (Kleg)
Kleg during Running
Torsional-Spring-Model (Kjoint)
Kknee during Running
Example MTU & Hill’s Muscle Model
     Vastus Lateralis   Gastrocnemius   Hill’s Muscle Model
Tendon Stiffness (Kten) (Hopping)
Tendon stiffness (N¡mm-1) is
determined from the slope
of the elongation – force
relationship




                               The same method is used
                               to calculate muscle fibre,
                               muscle and MTU stiffness
MTU Behavior (Hopping)
Separation of muscle and tendon components from the
              whole MTU during hopping




                          Solid line = MTU length, dotted line = tendon
                          length, broken line = muscle length       57
Lower Extremity Stiffness Regulation
   during Dynamic Movements
Joint Stiffness

Kankle: main determinant during high frequency
movements with short contact times (fast
hopping/jumping; maximal velocity sprinting)
 (Farley et al., 1998; Farley and Morgenroth, 1999; Hobara et al., 2010; Hobara et al.,
                                         2011)


Kknee: main determinant during longer contact
time movements (slow hopping; maximal height
jumping; jogging; acceleration phase of sprinting)
(Arampatzis et al., 1999; Kuitunen et al., 2002; Hobara et al., 2009; Hobara et al., 2011)
Touchdown Joint Angles

Greater joint flexion
↑ the moment arm
of the vertical GRF
and thus ↓ Kleg

(Greene and McMahon, 1979;
McMahon et al., 1987; Farley et al.,
1998; Hortobagyi and DeVita, 1999;
Moritz and Farley, 2004; Hobara et al.,
2010)
Muscle Recruitment
Magnitude of pre-/post-landing agonist muscle activation
and co-activation of antagonists:

• Co-activation during stair descent (elderly population only)

• For males: GM, GL & VL during DJ (20cm); VL & BF only
  during DJ (40/60cm); GM, SOL (but not TA) during hopping

• For females: same as males during DJ (20cm), but GM and
  VL only (not BF) during DJ 40cm (quad dominant strategy)

(Farley et al., 1998; Hortobagyi and DeVita, 2000; Arampatzis et al., 2001a; Arampatzis et al.,
                 2001b; Hobara et al., 2007; Hsu et al., 2007; Hobara et al., 2010)
Muscle Strength
Isometric strength:
Knee flexor: Khip in females (Schmitz and Shultz, 2010)
Plantar flexor: Kten (AT) in males & females (Muraoka et
al., 2005)

Knee extensor and plantar flexor: Kten (AT & PT) in
males (Karamanidis et al., 2008)
Eccentric strength:
Knee flexors & extensors: Kleg & Kknee (DL only)
during high intensity forward hopping (McMahon and
Graham-Smith, 2010)
Influence of Lower Extremity
Stiffness on Functional Performance
Kleg and Performance

• ↓ ground contact times (Farley et al., 1991; Arampatzis et al.,
   2001)



• ↑ hopping frequency (Farley et al.,1991; Granata et al.,2001)

• ↑ stride frequency (McMahon et al., 1987; Farley and Gonzalez,
   1996)



• ↓ stride length (McMahon and Cheng, 1990; Derrick et al., 2000;
   Kerdock et al., 2002)
Kleg and Performance (Cont’d)

• ↑ maximal velocity running (Farley and Gonzalez, 1996;
   Stefanyshyn and Nigg, 1998; Arampatzis et al., 1999; Seyfarth et al., 2002)



• ↑ running economy (McMahon and Cheng, 1990; Heise and
   Martin, 1998; Dutto and Smith, 2002; Kerdock et al., 2002)



• ↑ vertical jump height (from low drop
  heights) (Arampatzis et al., 2001)

• ↑ horizontal hop distance (McMahon and Graham-Smith,
   2010)
Too Much Kleg…
↓ vertical jump height (Walshe and Wilson,
1997; Arampatzis et al., 2001; Laffaye et al., 2005)


↓ horizontal jump distances (Seyfarth et al.,
1999; 2000)



↑ bony
injury risk
(Hewett et al.,
1996; Butler et
                                                       The magnitude
al., 2003)
                                                       of Kleg
                                                       requirements
                                                       depends upon
                                                       the task type
Kten and Performance
• ↑ RFD
• ↑ SJ height
• ↓ Tendon strain (injuries)

(Kubo et al., 2001d; Butler et al., 2003; Burgess et al., 2007; Kubo et al., 2007)


However, too much Kten:

• ↓ Elastic energy storage

                (Butler et al., 2003; Turner and Jeffreys, 2011)
Affect of Static Stretching, Training
   and Coaching Cues on Lower
        Extremity Stiffness
Static Stretching
Acute:
• 10 min calf stretch - ↓ Kten & Hysteresis (Kubo et al., 2001a)
• 5 min calf stretch - ↓ Kten & Young’s Modulus (Burgess et al.,
  2009)
  - greater decreases in female subjects
• 5 min calf stretch - ↓ Kten & Hysteresis (Kubo et al., 2002b)
  Changes above due to ↓ Viscosity & ↑ Elasticity
• 3 min calf stretch - ↔ Kleg (hopping @ 2.2Hz) (Hobara et al.,
  2011)
Chronic:
• 5 x 45s (15s rest) calf stretch 2 x day for 3 weeks:
  ↔ Kten & ↓ Hysteresis (Kubo et al., 2002a)
Isotonic Resistance Training
  6 weeks of:
• ‘Eccentric’ heel drops (BW): ↔ Kten (Mahieu et al., 2008)
  8 weeks of:
• Calf raises (70% 1RM):↑ Kten & ↔ Hysteresis (Kubo et al.,
  2002c)
  12 weeks of:
• Leg extension (70% 1RM): ↑ Kten (Kongsgaard et al., 2007)
  14 weeks of:
• Leg extension/leg press (80% 1RM): ↑ Kten (Reeves et al.,
  2003a,b)
  6 months of:
• BW squat: ↔ Kten (Kubo et al., 2003)
Isometric Resistance Training
 12 weeks of isometric knee extension performed at
                      70% MVC for 15-20s:
• ↑ Kten (Kubo et al., 2001c,d; 2006; 2009)
• ↑ muscle size and RFD (Kubo et al., 2001d)


 ↔ Kten during above exercise when:
- Performed for short duration (1s)
- Performed at short muscle length (50 deg)
- Performed for < 8 weeks
Isometric Resistance Training
14 weeks of isometric plantar flexion performed
                   at 90% MVC for 3s:
• ↑ Kten (Arampatzis et al., 2007; 2010)

Authors concluded that the strain magnitude
during isometric training should exceed the
value experienced during habitual loading for
mechanical adaptations in tendon to occur.
Plyometric Training
   14 weeks of plyometric training (SJ, CMJ, DJ
(35/40+50/60+65/80cm), hop over 40cm barrier):

• ↑ Kten (Fouré et al., 2010a,b)

Trained with high volume: 36 sessions in total
consisting of 200-600 jumps per session
Comparing Training Methods
6 weeks of Plyometric (DJ) vs Isometric (Plantar):
• Plyo: ↑ Kten (29%), ↑ RFD (19%) & ↑ SJ height (59%)
• Iso: ↑ Kten (62%), ↑ RFD (17%) & ↑ SJ height (64%)
                      (Burgess et al., 2007)



12 weeks of Isotonic (80% 1RM calf raise) vs Plyo (sledge
hopping & DJ 20 cm):
• Isotonic: ↑ Kten, ↔ Kankle,↑ SJ height
• Plyo: ↔ Kten, ↑ Kankle, ↑ SJ, CMJ & DJ height
                       (Kubo et al., 2007)
Comparing Training Methods
6 weeks of isotonic (70% 1RM leg press) vs isotonic +
Plyo (Barrier hops):
• Isotonic: ↔ Kleg             during CMJ
• Isotonic + Plyo: ↑ Kleg
                    (Toumi et al., 2004)



10 weeks of Isotonic (75-90% 1RM back squats) vs
Power (0-30% 1RM Jump Squats):
• Isotonic: ↑ Kleg
• Power: ↑ Kleg       during 0% 1RM jump squat
                    (Cormie et al., 2010)
Comparing Training Methods
Sprint versus endurance training:

• Sprinters had ↑ Kleg (hopping @ 1.5/3.0 Hz & DJ 30cm)

• Sprinters had ↑ Kknee (hopping @ 1.5 Hz)

• Sprinters had ↑ Kankle (hopping @ 3.0 Hz)

• Sprinters had ↓ contact time & ↑ flight time

• Sprinters had ↑ Kten (AT) & Plantar flexor Moments

         (Harrision et al., 2004; Arampatzis et al., 2007; Hobara et al., 2008)
Combination Training
10 weeks of isotonic (90-100% RPE               back
squats/deadlifts) plus Plyometrics (CMJ/DJ):

• During CMJ: ↑ Kleg

• During DJ 30, 60, 90cm: ↓ Kleg
                  (Hunter and Marshall, 2002)
Endurance Training
• No effect of endurance training on mechanical
  properties (i.e. Kten/Young’s Modulus) of the PT or
  AT

(Rosager et al., 2002; Hansen et al., 2003; Karamanidis and Arampatzis, 2006; Arampatzis
                                        et al., 2007)


• Endurance runners had ↑ Kleg (hopping @ 2.2 Hz)
  than untrained subjects
                                 (Hobara et al., 2008b)
Coaching Cues
Kleg can be manipulated by asking athletes to:

• “Reduce ground contact time”
• “Minimise knee flexion”
• “Jump as high as you can”
• “Jump high a little faster than your previous jump”

                  (Arampatzis et al., 2001b)
Tendon Training Summary
For increases in tendon stiffness to occur, training
should:

•   Include high loads (>70% 1RM)
•   Involve high tendon strains (↑ drop heights)
•   If isometric, be performed at long muscle lengths
•   If isometric, be performed for at least 3s/rep
•   Be performed consistently for at least 6-8 weeks
Kleg & Kjoint Training Summary
For increases in Kleg & Kjoint to occur, training should:

•   Include high loads (>75% 1RM)
•   Involve large muscle mass (Squats/Deadlifts)
•   Include both strength and power exercises
•   Be task specific
•   Be performed when technically competent
•   Be monitored to avoid excessive recruitment
Training Proposal
• Strength training and low-intensity plyometrics
  (coached correctly) should proceed high-intensity
  plyometric performance (for at least 6-8 weeks) in
  order develop necessary Kten to help avoid
  excessive tendon strains that may lead to injury.

• Plyometric training drills should be specific to the
  lower extremity stiffness characteristics of each
  athletes’ sport in order to enhance their
  transferability to performance.
Any Questions?

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Lower Extremity Stiffness Lecture

  • 1. Lower Extremity Stiffness Advanced Strength & Conditioning John McMahon BSc (Hons), ASCC, CSCS
  • 2. Lecture Aims • To introduce the mechanical concept of lower extremity stiffness and methods of calculation • To examine how lower extremity stiffness is regulated during dynamic movements • To discuss the influence of lower extremity stiffness on functional performance • To explain the affect of static stretching, training and coaching cues on lower extremity stiffness
  • 3. What is Stiffness? • Stiffness describes the relationship between a given force and the deformation of an object or body (Butler et al., 2003; Brughelli and Cronin, 2008a) • Hooke’s Law: F = kx rearranged to k = ∆F ∆x • The spring constant (k) describes the stiffness of an ideal spring-mass-system
  • 4. Compartments of Stiffness • Lower extremity stiffness can be determined at various levels within the leg: • Tendon • Muscle Fibre • Muscle • Muscle-tendon-unit (MTU) • Joint • Leg
  • 5. Methods of Calculating Lower Extremity Stiffness during Dynamic Movements
  • 11. Example MTU & Hill’s Muscle Model Vastus Lateralis Gastrocnemius Hill’s Muscle Model
  • 12. Tendon Stiffness (Kten) (Hopping) Tendon stiffness (N¡mm-1) is determined from the slope of the elongation – force relationship The same method is used to calculate muscle fibre, muscle and MTU stiffness
  • 13. MTU Behavior (Hopping) Separation of muscle and tendon components from the whole MTU during hopping Solid line = MTU length, dotted line = tendon length, broken line = muscle length 57
  • 14. Lower Extremity Stiffness Regulation during Dynamic Movements
  • 15. Joint Stiffness Kankle: main determinant during high frequency movements with short contact times (fast hopping/jumping; maximal velocity sprinting) (Farley et al., 1998; Farley and Morgenroth, 1999; Hobara et al., 2010; Hobara et al., 2011) Kknee: main determinant during longer contact time movements (slow hopping; maximal height jumping; jogging; acceleration phase of sprinting) (Arampatzis et al., 1999; Kuitunen et al., 2002; Hobara et al., 2009; Hobara et al., 2011)
  • 16. Touchdown Joint Angles Greater joint flexion ↑ the moment arm of the vertical GRF and thus ↓ Kleg (Greene and McMahon, 1979; McMahon et al., 1987; Farley et al., 1998; Hortobagyi and DeVita, 1999; Moritz and Farley, 2004; Hobara et al., 2010)
  • 17. Muscle Recruitment Magnitude of pre-/post-landing agonist muscle activation and co-activation of antagonists: • Co-activation during stair descent (elderly population only) • For males: GM, GL & VL during DJ (20cm); VL & BF only during DJ (40/60cm); GM, SOL (but not TA) during hopping • For females: same as males during DJ (20cm), but GM and VL only (not BF) during DJ 40cm (quad dominant strategy) (Farley et al., 1998; Hortobagyi and DeVita, 2000; Arampatzis et al., 2001a; Arampatzis et al., 2001b; Hobara et al., 2007; Hsu et al., 2007; Hobara et al., 2010)
  • 18. Muscle Strength Isometric strength: Knee flexor: Khip in females (Schmitz and Shultz, 2010) Plantar flexor: Kten (AT) in males & females (Muraoka et al., 2005) Knee extensor and plantar flexor: Kten (AT & PT) in males (Karamanidis et al., 2008) Eccentric strength: Knee flexors & extensors: Kleg & Kknee (DL only) during high intensity forward hopping (McMahon and Graham-Smith, 2010)
  • 19. Influence of Lower Extremity Stiffness on Functional Performance
  • 20. Kleg and Performance • ↓ ground contact times (Farley et al., 1991; Arampatzis et al., 2001) • ↑ hopping frequency (Farley et al.,1991; Granata et al.,2001) • ↑ stride frequency (McMahon et al., 1987; Farley and Gonzalez, 1996) • ↓ stride length (McMahon and Cheng, 1990; Derrick et al., 2000; Kerdock et al., 2002)
  • 21. Kleg and Performance (Cont’d) • ↑ maximal velocity running (Farley and Gonzalez, 1996; Stefanyshyn and Nigg, 1998; Arampatzis et al., 1999; Seyfarth et al., 2002) • ↑ running economy (McMahon and Cheng, 1990; Heise and Martin, 1998; Dutto and Smith, 2002; Kerdock et al., 2002) • ↑ vertical jump height (from low drop heights) (Arampatzis et al., 2001) • ↑ horizontal hop distance (McMahon and Graham-Smith, 2010)
  • 22. Too Much Kleg… ↓ vertical jump height (Walshe and Wilson, 1997; Arampatzis et al., 2001; Laffaye et al., 2005) ↓ horizontal jump distances (Seyfarth et al., 1999; 2000) ↑ bony injury risk (Hewett et al., 1996; Butler et The magnitude al., 2003) of Kleg requirements depends upon the task type
  • 23. Kten and Performance • ↑ RFD • ↑ SJ height • ↓ Tendon strain (injuries) (Kubo et al., 2001d; Butler et al., 2003; Burgess et al., 2007; Kubo et al., 2007) However, too much Kten: • ↓ Elastic energy storage (Butler et al., 2003; Turner and Jeffreys, 2011)
  • 24. Affect of Static Stretching, Training and Coaching Cues on Lower Extremity Stiffness
  • 25. Static Stretching Acute: • 10 min calf stretch - ↓ Kten & Hysteresis (Kubo et al., 2001a) • 5 min calf stretch - ↓ Kten & Young’s Modulus (Burgess et al., 2009) - greater decreases in female subjects • 5 min calf stretch - ↓ Kten & Hysteresis (Kubo et al., 2002b) Changes above due to ↓ Viscosity & ↑ Elasticity • 3 min calf stretch - ↔ Kleg (hopping @ 2.2Hz) (Hobara et al., 2011) Chronic: • 5 x 45s (15s rest) calf stretch 2 x day for 3 weeks: ↔ Kten & ↓ Hysteresis (Kubo et al., 2002a)
  • 26. Isotonic Resistance Training 6 weeks of: • ‘Eccentric’ heel drops (BW): ↔ Kten (Mahieu et al., 2008) 8 weeks of: • Calf raises (70% 1RM):↑ Kten & ↔ Hysteresis (Kubo et al., 2002c) 12 weeks of: • Leg extension (70% 1RM): ↑ Kten (Kongsgaard et al., 2007) 14 weeks of: • Leg extension/leg press (80% 1RM): ↑ Kten (Reeves et al., 2003a,b) 6 months of: • BW squat: ↔ Kten (Kubo et al., 2003)
  • 27. Isometric Resistance Training 12 weeks of isometric knee extension performed at 70% MVC for 15-20s: • ↑ Kten (Kubo et al., 2001c,d; 2006; 2009) • ↑ muscle size and RFD (Kubo et al., 2001d) ↔ Kten during above exercise when: - Performed for short duration (1s) - Performed at short muscle length (50 deg) - Performed for < 8 weeks
  • 28. Isometric Resistance Training 14 weeks of isometric plantar flexion performed at 90% MVC for 3s: • ↑ Kten (Arampatzis et al., 2007; 2010) Authors concluded that the strain magnitude during isometric training should exceed the value experienced during habitual loading for mechanical adaptations in tendon to occur.
  • 29. Plyometric Training 14 weeks of plyometric training (SJ, CMJ, DJ (35/40+50/60+65/80cm), hop over 40cm barrier): • ↑ Kten (FourĂŠ et al., 2010a,b) Trained with high volume: 36 sessions in total consisting of 200-600 jumps per session
  • 30. Comparing Training Methods 6 weeks of Plyometric (DJ) vs Isometric (Plantar): • Plyo: ↑ Kten (29%), ↑ RFD (19%) & ↑ SJ height (59%) • Iso: ↑ Kten (62%), ↑ RFD (17%) & ↑ SJ height (64%) (Burgess et al., 2007) 12 weeks of Isotonic (80% 1RM calf raise) vs Plyo (sledge hopping & DJ 20 cm): • Isotonic: ↑ Kten, ↔ Kankle,↑ SJ height • Plyo: ↔ Kten, ↑ Kankle, ↑ SJ, CMJ & DJ height (Kubo et al., 2007)
  • 31. Comparing Training Methods 6 weeks of isotonic (70% 1RM leg press) vs isotonic + Plyo (Barrier hops): • Isotonic: ↔ Kleg during CMJ • Isotonic + Plyo: ↑ Kleg (Toumi et al., 2004) 10 weeks of Isotonic (75-90% 1RM back squats) vs Power (0-30% 1RM Jump Squats): • Isotonic: ↑ Kleg • Power: ↑ Kleg during 0% 1RM jump squat (Cormie et al., 2010)
  • 32. Comparing Training Methods Sprint versus endurance training: • Sprinters had ↑ Kleg (hopping @ 1.5/3.0 Hz & DJ 30cm) • Sprinters had ↑ Kknee (hopping @ 1.5 Hz) • Sprinters had ↑ Kankle (hopping @ 3.0 Hz) • Sprinters had ↓ contact time & ↑ flight time • Sprinters had ↑ Kten (AT) & Plantar flexor Moments (Harrision et al., 2004; Arampatzis et al., 2007; Hobara et al., 2008)
  • 33. Combination Training 10 weeks of isotonic (90-100% RPE back squats/deadlifts) plus Plyometrics (CMJ/DJ): • During CMJ: ↑ Kleg • During DJ 30, 60, 90cm: ↓ Kleg (Hunter and Marshall, 2002)
  • 34. Endurance Training • No effect of endurance training on mechanical properties (i.e. Kten/Young’s Modulus) of the PT or AT (Rosager et al., 2002; Hansen et al., 2003; Karamanidis and Arampatzis, 2006; Arampatzis et al., 2007) • Endurance runners had ↑ Kleg (hopping @ 2.2 Hz) than untrained subjects (Hobara et al., 2008b)
  • 35. Coaching Cues Kleg can be manipulated by asking athletes to: • “Reduce ground contact time” • “Minimise knee flexion” • “Jump as high as you can” • “Jump high a little faster than your previous jump” (Arampatzis et al., 2001b)
  • 36. Tendon Training Summary For increases in tendon stiffness to occur, training should: • Include high loads (>70% 1RM) • Involve high tendon strains (↑ drop heights) • If isometric, be performed at long muscle lengths • If isometric, be performed for at least 3s/rep • Be performed consistently for at least 6-8 weeks
  • 37. Kleg & Kjoint Training Summary For increases in Kleg & Kjoint to occur, training should: • Include high loads (>75% 1RM) • Involve large muscle mass (Squats/Deadlifts) • Include both strength and power exercises • Be task specific • Be performed when technically competent • Be monitored to avoid excessive recruitment
  • 38. Training Proposal • Strength training and low-intensity plyometrics (coached correctly) should proceed high-intensity plyometric performance (for at least 6-8 weeks) in order develop necessary Kten to help avoid excessive tendon strains that may lead to injury. • Plyometric training drills should be specific to the lower extremity stiffness characteristics of each athletes’ sport in order to enhance their transferability to performance.

Notas do Editor

  1. Gender diffs may be due to diffs in collagen content and collagen composition