Differences Between Long Distance Road Runners and Trail Runners in Achilles Tendon Structure and Jumping and Balance Performance.
Journal
PM & R : the journal of injury, function, and rehabilitation
ISSN: 1934-1563
Titre abrégé: PM R
Pays: United States
ID NLM: 101491319
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
07
01
2019
accepted:
19
11
2019
pubmed:
26
11
2019
medline:
3
8
2021
entrez:
26
11
2019
Statut:
ppublish
Résumé
Load and joint kinematics change with differences in running surface. Running regularly on trails compared to roads might influence the load on the Achilles tendon and its adaptations, along with other factors such as balance, strength, and proprioception. To investigate Achilles tendon structure and functional tests in road and trail runners. Cross-sectional study. Laboratory, sport sciences college. The study included 26 road and 17 trail runners who run at least three times per week with a minimum of 20 km per week and who participated in running competitions over the preceding 2 years. Each participant was examined for Achilles tendon structure (via ultrasound tissue characterization [UTC] imaging) and underwent functional tests in addition to completing a demographic questionnaire. The percentages of echo types I, II, III, and IV (degree of structural homogeneity) within the tendon, tendon length and width, tendon cross-sectional area (via UTC imaging); Ankle inversion movement discrimination ability (via Active Movement Extent Discrimination Apparatus device); dynamic postural balance (via Y balance test); jumping performance (by Triple hop distance test); and Hip muscle abduction muscle strength (by hand-held dynamometry). Percentage of echo type I was significantly lower while echo type II was higher in the road group compared with the trail group (67.3% type I and 28.9% type II in the road group compared with 74.1% type I and 22.1% type II in the trail group, P < .001). No differences between genders were found and no significant differences between groups were found for the other tests. Tendon integrity as examined with UTC is different between road and trail runners. This suggests an influence of running surface on Achilles tendon structure. This difference was not reflected in other tests, thus the influence of tendon structure on function needs further examination.
Sections du résumé
BACKGROUND
Load and joint kinematics change with differences in running surface. Running regularly on trails compared to roads might influence the load on the Achilles tendon and its adaptations, along with other factors such as balance, strength, and proprioception.
OBJECTIVE
To investigate Achilles tendon structure and functional tests in road and trail runners.
DESIGN
Cross-sectional study.
SETTING
Laboratory, sport sciences college.
PARTICIPANTS
The study included 26 road and 17 trail runners who run at least three times per week with a minimum of 20 km per week and who participated in running competitions over the preceding 2 years.
METHODS
Each participant was examined for Achilles tendon structure (via ultrasound tissue characterization [UTC] imaging) and underwent functional tests in addition to completing a demographic questionnaire.
MAIN OUTCOME MEASUREMENTS
The percentages of echo types I, II, III, and IV (degree of structural homogeneity) within the tendon, tendon length and width, tendon cross-sectional area (via UTC imaging); Ankle inversion movement discrimination ability (via Active Movement Extent Discrimination Apparatus device); dynamic postural balance (via Y balance test); jumping performance (by Triple hop distance test); and Hip muscle abduction muscle strength (by hand-held dynamometry).
RESULTS
Percentage of echo type I was significantly lower while echo type II was higher in the road group compared with the trail group (67.3% type I and 28.9% type II in the road group compared with 74.1% type I and 22.1% type II in the trail group, P < .001). No differences between genders were found and no significant differences between groups were found for the other tests.
CONCLUSION
Tendon integrity as examined with UTC is different between road and trail runners. This suggests an influence of running surface on Achilles tendon structure. This difference was not reflected in other tests, thus the influence of tendon structure on function needs further examination.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
794-804Informations de copyright
© 2019 American Academy of Physical Medicine and Rehabilitation.
Références
Hotta T, Nishiguchi S, Fukutani N, et al. The association between plantar heel pain and running surfaces in competitive long-distance male runners. J Sports Med Phys Fitness. 2016;56:1021-1025.
Wang L, Hong Y, Li J-X, Zhou J-H. Comparison of plantar loads during running on different overground surfaces. Res Sports Med. 2012;20:75-85. https://doi.org/10.1080/15438627.2012.660816.
Dixon SJ, Collop AC, Batt ME. Surface effects on ground reaction forces and lower extremity kinematics in running. Med Sci Sports Exerc. 2000;32:1919-1926.
Hardin EC, van den Bogert AJ, Hamill J. Kinematic adaptations during running: effects of footwear, surface, and duration. Med Sci Sports Exerc. 2004;36:838-844.
Kerdok AE, Biewener AA, McMahon TA, Weyand PG, Herr HM. Energetics and mechanics of human running on surfaces of different stiffnesses. J Appl Physiol. 2002;92:469-478. https://doi.org/10.1152/japplphysiol.01164.2000.
Schütte KH, Aeles J, De Beéck TO, van der Zwaard BC, Venter R, Vanwanseele B. Surface effects on dynamic stability and loading during outdoor running using wireless trunk accelerometry. Gait Posture. 2016;48:220-225. https://doi.org/10.1016/j.gaitpost.2016.05.017.
Hébert-Losier K, Mourot L, Holmberg H-C. Elite and amateur orienteers' running biomechanics on three surfaces at three speeds. Med Sci Sports Exerc. 2015;47:381-389. https://doi.org/10.1249/MSS.0000000000000413.
Kyröläinen H, Avela J, Komi PV. Changes in muscle activity with increasing running speed. J Sports Sci. 2005;23:1101-1109. https://doi.org/10.1080/02640410400021575.
Kyrolainen H, Kivela R, Koskinen S, et al. Interrelationships between muscle structure, muscle strength, and running economy. Med Sci Sports Exerc. 2003;35:45-49. https://doi.org/10.1249/01.MSS.0000046149.03322.BB.
Schepsis AA, Jones H, Haas AL. Achilles tendon disorders in athletes. Am J Sports Med. 2002;30:287-305. https://doi.org/10.1177/03635465020300022501.
Magnusson SP, Kjaer M. Region-specific differences in Achilles tendon cross-sectional area in runners and non-runners. Eur J Appl Physiol. 2003;90:549-553. https://doi.org/10.1007/s00421-003-0865-8.
Rosager S, Aagaard P, Dyhre-Poulsen P, Neergaard K, Kjaer M, Magnusson SP. Load-displacement properties of the human triceps surae aponeurosis and tendon in runners and non-runners. Scand J Med Sci Sports. 2002;12:90-98.
Lin C-H, Chiang S-L, Lu L-H, Wei S-H, Sung W-H. Validity of an ankle joint motion and position sense measurement system and its application in healthy subjects and patients with ankle sprain. Comput Methods Programs Biomed. 2016;131:89-96. https://doi.org/10.1016/j.cmpb.2016.03.026.
Kader D, Saxena A, Movin T, Maffulli N. Achilles tendinopathy: some aspects of basic science and clinical management. Br J Sports Med. 2002;36:239-249.
Lopes AD, Hespanhol LC, Yeung SS, Costa LOP. What are the main running-related musculoskeletal injuries?: a systematic review. Sports Med. 2012;42:891-905. https://doi.org/10.2165/11631170-000000000-00000.
Alfredson H, Cook J. A treatment algorithm for managing Achilles tendinopathy: new treatment options. Br J Sports Med. 2007;41:211-216. https://doi.org/10.1136/bjsm.2007.035543.
Habets B, van Cingel REH. Eccentric exercise training in chronic mid-portion Achilles tendinopathy: a systematic review on different protocols: a systematic review on different protocols. Scand J Med Sci Sports. 2015;25:3-15. https://doi.org/10.1111/sms.12208.
van Dijk CN, van Sterkenburg MN, Wiegerinck JI, Karlsson J, Maffulli N. Terminology for Achilles tendon related disorders. Knee Surg Sports Traumatol Arthrosc. 2011;19:835-841. https://doi.org/10.1007/s00167-010-1374-z.
Brumitt J, Heiderscheit BC, Manske RC, Niemuth PE, Rauh MJ. Lower extremity functional tests and risk of injury in division iii collegiate athletes. Int J Sports Phys Ther. 2013;8:216-227.
Kiesel K, Plisky PJ, Voight ML. Can serious injury in professional football be predicted by a preseason functional movement screen? N Am J Sports Phys Ther. 2007;2:147-158.
Coughlan GF, Fullam K, Delahunt E, Gissane C, Caulfield BM. A comparison between performance on selected directions of the star excursion balance test and the Y balance test. J Athl Train. 2012;47:366-371. https://doi.org/10.4085/1062-6050-47.4.03.
Hertel J, Braham RA, Hale SA, Olmsted-Kramer LC. Simplifying the star excursion balance test: analyses of subjects with and without chronic ankle instability. J Orthop Sports Phys Ther. 2006;36:131-137. https://doi.org/10.2519/jospt.2006.36.3.131.
Dar G, Yehiel A, Cale' Benzoor M. Concurrent criterion validity of a novel portable motion analysis system for assessing the landing error scoring system (LESS) test. Sports Biomech. 2019;18:426-436. https://doi.org/10.1080/14763141.2017.1412495.
Itoh H, Kurosaka M, Yoshiya S, Ichihashi N, Mizuno K. Evaluation of functional deficits determined by four different hop tests in patients with anterior cruciate ligament deficiency. Knee Surg Sports Traumatol Arthrosc. 1998;6:241-245. https://doi.org/10.1007/s001670050106.
Teyhen DS, Shaffer SW, Lorenson CL, et al. The functional movement screen: a reliability study. J Orthop Sports Phys Ther. 2012;42:530-540. https://doi.org/10.2519/jospt.2012.3838.
van Schie HTM, de Vos RJ, de Jonge S, et al. Ultrasonographic tissue characterisation of human Achilles tendons: quantification of tendon structure through a novel non-invasive approach. Br J Sports Med. 2010;44:1153-1159. https://doi.org/10.1136/bjsm.2009.061010.
Docking SI, Cook J. Pathological tendons maintain sufficient aligned fibrillar structure on ultrasound tissue characterization (UTC): aligned fibrillar structure of the tendon. Scand J Med Sci Sports. 2016;26:675-683. https://doi.org/10.1111/sms.12491.
Masci L, Spang C, van Schie HTM, Alfredson H. Achilles tendinopathy-do plantaris tendon removal and Achilles tendon scraping improve tendon structure? A prospective study using ultrasound tissue characterisation. BMJ Open Sport Exerc Med. 2015;1:e000005. https://doi.org/10.1136/bmjsem-2015-000005.
van Schie HTM, Bakker EM, Jonker AM, van Weeren PR. Computerized ultrasonographic tissue characterization of equine superficial digital flexor tendons by means of stability quantification of echo patterns in contiguous transverse ultrasonographic images. Am J Vet Res. 2003;64:366-375.
Rabello LM, van den Akker-Scheek I, Kuipers IF, Diercks RL, Brink MS, Zwerver J. Bilateral changes in tendon structure of patients diagnosed with unilateral insertional or midportion achilles tendinopathy or patellar tendinopathy [published online ahead of print April 1, 2019]. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-019-05495-2.
Stanley LE, Lucero A, Mauntel TC, et al. Achilles tendon adaptation in cross-country runners across a competitive season. Scand J Med Sci Sports. 2018;28:303-310. https://doi.org/10.1111/sms.12903.
Rosengarten SD, Cook JL, Bryant AL, Cordy JT, Daffy J, Docking SI. Australian football players' Achilles tendons respond to game loads within 2 days: an ultrasound tissue characterisation (UTC) study. Br J Sports Med. 2015;49:183-187. https://doi.org/10.1136/bjsports-2013-092713.
Steinberg N, Waddington G, Adams R, Karin J, Begg R, Tirosh O. Can textured insoles improve ankle proprioception and performance in dancers? J Sports Sci. 2016;34:1430-1437. https://doi.org/10.1080/02640414.2015.1117120.
Waddington G, Adams R. Discrimination of active plantarflexion and inversion movements after ankle injury. Aust J Physiother. 1999;45:7-13. https://doi.org/10.1016/S0004-9514(14)60335-4.
Witchalls JB, Waddington G, Adams R, Blanch P. Chronic ankle instability affects learning rate during repeated proprioception testing. Phys Ther Sport. 2014;15:106-111. https://doi.org/10.1016/j.ptsp.2013.04.002.
Han J, Adams R, Waddington G, Anson J. Ability to discriminate movements at multiple joints around the body: global or site-specific. Percept Mot Skills. 2013;116:59-68. https://doi.org/10.2466/24.10.23.PMS.116.1.59-68.
Plisky PJ, Gorman PP, Butler RJ, Kiesel KB, Underwood FB, Elkins B. The reliability of an instrumented device for measuring components of the star excursion balance test. N Am J Sports Phys Ther. 2009;4:92-99.
Robinson RH, Gribble PA. Support for a reduction in the number of trials needed for the star excursion balance test. Arch Phys Med Rehabil. 2008;89:364-370. https://doi.org/10.1016/j.apmr.2007.08.139.
Kodesh E, Dar G. The effect of kinesiotape on dynamic balance following muscle fatigue in individuals with chronic ankle instability. Res Sports Med. 2015;23:367-378. https://doi.org/10.1080/15438627.2015.1076417.
Lai WC, Wang D, Chen JB, Vail J, Rugg CM, Hame SL. Lower quarter Y-balance test scores and lower extremity injury in NCAA division I athletes. Orthop J Sports Med. 2017;5:232596711772366. https://doi.org/10.1177/2325967117723666.
Noyes FR, Barber SD, Mangine RE. Abnormal lower limb symmetry determined by function hop tests after anterior cruciate ligament rupture. Am J Sports Med. 1991;19:513-518. https://doi.org/10.1177/036354659101900518.
Reid A, Birmingham TB, Stratford PW, Alcock GK, Giffin JR. Hop testing provides a reliable and valid outcome measure during rehabilitation after anterior cruciate ligament reconstruction. Phys Ther. 2007;87:337-349. https://doi.org/10.2522/ptj.20060143.
Schmitt LC, Paterno MV, Hewett TE. The impact of quadriceps femoris strength asymmetry on functional performance at return to sport following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther. 2012;42:750-759. https://doi.org/10.2519/jospt.2012.4194.
Leijendekkers RA, van Hinte G, Sman AD, Staal JB, Nijhuis-van der Sanden MWG, Hoogeboom TJ. Clinimetric properties of hip abduction strength measurements obtained using a handheld dynamometer in individuals with a lower extremity amputation. PLoS One. 2017;12:e0179887. https://doi.org/10.1371/journal.pone.0179887.
Nadler SF, DePrince ML, Hauesien N, Malanga GA, Stitik TP, Price E. Portable dynamometer anchoring station for measuring strength of the hip extensors and abductors. Arch Phys Med Rehabil. 2000;81:1072-1076.
Bohannon RW. Reference values for extremity muscle strength obtained by hand-held dynamometry from adults aged 20 to 79 years. Arch Phys Med Rehabil. 1997;78:26-32. https://doi.org/10.1016/S0003-9993(97)90005-8.
Tabachnick BG, Fidell LS. Using Multivariate Statistics. 5th ed. Boston, MA: Pearson Education; 2006.
Docking SI, Rosengarten SD, Cook J. Achilles tendon structure improves on UTC imaging over a 5-month pre-season in elite Australian football players. Scand J Med Sci Sports. 2016;26:557-563. https://doi.org/10.1111/sms.12469.
Landis JR, Koch GG. An application of hierarchical kappa-type statistics in the assessment of majority agreement among multiple observers. Biometrics. 1977;33:363-374.
Docking SI, Rosengarten SD, Daffy J, Cook J. Structural integrity is decreased in both Achilles tendons in people with unilateral Achilles tendinopathy. J Sci Med Sport. 2015;18:383-387. https://doi.org/10.1016/j.jsams.2014.06.004.
Wezenbeek E, Mahieu N, Willems TM, et al. What does normal tendon structure look like? New insights into tissue characterization in the Achilles tendon. Scand J Med Sci Sports. 2017;27:746-753. https://doi.org/10.1111/sms.12706.
van Ark M, Docking SI, van den Akker-Scheek I, et al. Does the adolescent patellar tendon respond to 5 days of cumulative load during a volleyball tournament? Scand J Med Sci Sports. 2016;26:189-196. https://doi.org/10.1111/sms.12426.
Åström M, Gentz C-F, Nilsson P, Rausing A, Sjöberg S, Westlin N. Imaging in chronic achilles tendinopathy: a comparison of ultrasonography, magnetic resonance imaging and surgical findings in 27 histologically verified cases. Skeletal Radiol. 1996;25:615-620. https://doi.org/10.1007/s002560050146.
Tessutti V, Ribeiro AP, Trombini-Souza F, Sacco ICN. Attenuation of foot pressure during running on four different surfaces: asphalt, concrete, rubber, and natural grass. J Sports Sci. 2012;30:1545-1550. https://doi.org/10.1080/02640414.2012.713975.
Kulmala J-P, Avela J, Pasanen K, Parkkari J. Forefoot strikers exhibit lower running-induced knee loading than rearfoot strikers. Med Sci Sports Exerc. 2013;45:2306-2313. https://doi.org/10.1249/MSS.0b013e31829efcf7.
Impellizzeri FM, Rampinini E, Castagna C, Martino F, Fiorini S, Wisloff U. Effect of plyometric training on sand versus grass on muscle soreness and jumping and sprinting ability in soccer players. Br J Sports Med. 2008;42:42-46. https://doi.org/10.1136/bjsm.2007.038497.
Binnie MJ, Dawson B, Arnot MA, Pinnington H, Landers G, Peeling P. Effect of sand versus grass training surfaces during an 8-week pre-season conditioning programme in team sport athletes. J Sports Sci. 2014;32:1001-1012. https://doi.org/10.1080/02640414.2013.879333.