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Int J Sports Med 2016; 37(01): 50-55
DOI: 10.1055/s-0035-1549923
Orthopedics & Biomechanics
© Georg Thieme Verlag KG Stuttgart · New York

Eccentric Fatigue Modulates Stretch-shortening Cycle Effectiveness – A Possible Role in Lower Limb Overuse Injuries

J. Debenham
1   School of Physiotherapy, University of Notre Dame Australia, Fremantle, Australia
,
M. Travers
2   School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia
,
W. Gibson
1   School of Physiotherapy, University of Notre Dame Australia, Fremantle, Australia
,
A. Campbell
2   School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia
,
G. Allison
2   School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia
› Author Affiliations
Further Information

Publication History



accepted after revision 03 April 2015

Publication Date:
28 October 2015 (online)

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Abstract

The role of fatigue in injury development is an important consideration for clinicians. In particular, the role of eccentric fatigue in stretch-shortening cycle (SSC) activities may be linked to lower limb overuse conditions. The purpose of this study was to explore the influence of ankle plantarflexor eccentric fatigue on SSC effectiveness during a hopping task in healthy volunteers. 11 healthy volunteers (23.2±6.7 years) performed a sub-maximal hopping task on a custom-built sledge system. 3D motion capture and surface EMG were utilised to measure lower limb stiffness, temporal kinematic measures and muscle timing measures at baseline and immediately following an eccentric fatigue protocol. A linear mixed model was used to test whether measures differed between conditions. Compared to baseline, eccentric fatigue induced increased stiffness during the hopping task (+ 15.3%; P<0.001). Furthermore, ankle stretch amplitude decreased (– 9.1%; P<0.001), whilst all other ankle kinematic measures remained unchanged. These changes were accompanied by a temporal shift in onset of activity in soleus and tibialis anterior muscles (– 4.6 to – 8.5%; p<0.001). These findings indicate that eccentric fatigue alters SSC effectiveness in healthy volunteers. These findings may be applied to inform pathogenetic models of overuse injury development.

Key word

fatigue - stretch shortening cycle - eccentric contraction - stiffness
 

  • References

  • 1 Alfredson H, Pietila T, Lorentzon R. Chronic Achilles tendinitis and calf muscle strength. Am J Sports Med. 1996; 24: 829-833
    CrossrefPubMedGoogle Scholar
  • 2 Allison GT. Trunk muscle onset detection technique for EMG signals with ECG artefact. J Electromyogr Kinesiol 2003; 13: 209-216
    CrossrefPubMedGoogle Scholar
  • 3 Andarawis-Puri N, Flatow EL. Tendon fatigue in response to mechanical loading. J Musculoskelet Neuronal Interact. 2011; 11: 106-114
    PubMedGoogle Scholar
  • 4 Avela J, Komi PV. Reduced stretch reflex sensitivity and muscle stiffness after long-lasting stretch-shortening cycle exercise in humans. Eur J Appl Physiol 1998; 78: 403-410
    CrossrefPubMedGoogle Scholar
  • 5 Beck TW, Kasishke 2nd PR, Stock MS, DeFreitas JM. Neural contributions to concentric vs. eccentric exercise-induced strength loss. J Strength Cond Res 2012; 26: 633-640
    CrossrefPubMedGoogle Scholar
  • 6 Besier TF, Sturnieks DL, Alderson JA, Lloyd DG. Repeatability of gait data using a functional hip joint centre and a mean helical knee axis. J Biomech 2003; 36: 1159-1168
    CrossrefPubMedGoogle Scholar
  • 7 Blickhan R. The spring-mass model for running and hopping. J Biomech 1989; 22: 1217-1227
    CrossrefPubMedGoogle Scholar
  • 8 Bobbert MF, Richard Casius LJ. Spring-like leg behaviour, musculoskeletal mechanics and control in maximum and submaximum height human hopping. Philos Trans R Soc London B, Biol Sci 2011; 366: 1516-1529
    CrossrefPubMedGoogle Scholar
  • 9 Brughelli M, Cronin J. A review of research on the mechanical stiffness in running and jumping: methodology and implications. Scand J Med Sci Sports 2008; 18: 417-426
    CrossrefPubMedGoogle Scholar
  • 10 Butler RJ, Crowell 3rd HP, Davis IM. Lower extremity stiffness: implications for performance and injury. Clin Biomech 2003; 18: 511-517
    CrossrefPubMedGoogle Scholar
  • 11 Clansey AC, Hanlon M, Wallace ES, Lake MJ. Effects of fatigue on running mechanics associated with tibial stress fracture risk. Med Sci Sports Exerc 2012; 44: 1917-1923
    CrossrefPubMedGoogle Scholar
  • 12 Cormie P, McGuigan MR, Newton RU. Changes in the eccentric phase contribute to improved stretch-shorten cycle performance after training. Med Sci Sports Exerc 2010; 42: 1731-1744
    CrossrefPubMedGoogle Scholar
  • 13 Dalleau G, Belli A, Viale F, Lacour JR, Bourdin M. A simple method for field measurements of leg stiffness in hopping. Int J Sports Med 2004; 25: 170-176
    Article in Thieme ConnectPubMedGoogle Scholar
  • 14 Debenham JR, Travers MJ, Gibson W, Campbell A, Allison GT. Achilles tendinopathy alters stretch-shortening cycle behaviour during a sub-maximal hopping task. J Sci Med Sport. 2014; DOI: 10.1016/j.jsams.2014.11.391.
    PubMedGoogle Scholar
  • 15 Dutto DJ, Smith GA. Changes in spring-mass characteristics during treadmill running to exhaustion. Med Sci Sports Exerc 2002; 34: 1324-1331
    CrossrefPubMedGoogle Scholar
  • 16 Farley CT, González O. Leg stiffness and stride frequency in human running. J Biomech 1996; 29: 181-186
    CrossrefPubMedGoogle Scholar
  • 17 Fourchet F, Girard O, Kelly L, Horobeanu C, Millet GP. Changes in leg spring behaviour, plantar loading and foot mobility magnitude induced by an exhaustive treadmill run in adolescent middle-distance runners. J Sci Med Sport. 2014; DOI: 10.1016/j.jsams.2014.01.007.
    PubMedGoogle Scholar
  • 18 Furlong LA, Harrison AJ. Reliability and consistency of plantarflexor stretch-shortening cycle function using an adapted force sledge apparatus. Physiol Meas 2013; 34: 437-448
    CrossrefPubMedGoogle Scholar
  • 19 Girard O, Millet GP, Slawinski J, Racinais S, Micallef JP. Changes in running mechanics and spring-mass behaviour during a 5-km time trial. Int J Sports Med 2013; 34: 832-840
    Article in Thieme ConnectPubMedGoogle Scholar
  • 20 Hamill J, Moses M, Seay J. Lower extremity joint stiffness in runners with low back pain. Res Sports Med 2009; 17: 260-273
    CrossrefPubMedGoogle Scholar
  • 21 Harriss DJ, Atkinson G. Ethical standards in sport and exercise science research: 2014 update. Int J Sports Med 2013; 34: 1025-1028
    Article in Thieme ConnectPubMedGoogle Scholar
  • 22 Hayes PR, Caplan N. Leg stiffness decreases during a run to exhaustion at the speed at VO2max. Eur J Sport Sci 2014; 14: 556-562
    CrossrefPubMedGoogle Scholar
  • 23 Hobara H, Kanosue K, Suzuki S. Changes in muscle activity with increase in leg stiffness during hopping. Neurosci Lett 2007; 418: 55-59
    CrossrefPubMedGoogle Scholar
  • 24 Hodges PW, Tucker K. Moving differently in pain: a new theory to explain the adaptation to pain. Pain 2011; 152: S90-S98
    CrossrefPubMedGoogle Scholar
  • 25 Horita T, Komi PV, Nicol C, Kyrolainen H. Stretch shortening cycle fatigue: interactions among joint stiffness, reflex, and muscle mechanical performance in the drop jump [corrected]. Eur J Appl Physiol 1996; 73: 393-403
    CrossrefPubMedGoogle Scholar
  • 26 Houghton LA, Dawson BT, Rubenson J. Effects of plyometric training on achilles tendon properties and shuttle running during a simulated cricket batting innings. J Strength Cond Res 2013; 27: 1036-1046
    CrossrefPubMedGoogle Scholar
  • 27 Kuitunen S, Avela J, Kyrolainen H, Nicol C, Komi PV. Acute and prolonged reduction in joint stiffness in humans after exhausting stretch-shortening cycle exercise. Scand J Med Sci Sports 2002; 88: 107-116
    PubMedGoogle Scholar
  • 28 Kuitunen S, Kyrolainen H, Avela J, Komi PV. Leg stiffness modulation during exhaustive stretch-shortening cycle exercise. Scand J Med Sci Sports 2007; 17: 67-75
    PubMedGoogle Scholar
  • 29 Lamontagne M, Kennedy MJ. The biomechanics of vertical hopping: a review. Res Sports Med 2013; 21: 380-394
    PubMedGoogle Scholar
  • 30 Magnan B, Bondi M, Pierantoni S, Samaila E. The pathogenesis of Achilles tendinopathy: a systematic review. Foot Ankle Surg 2014; 20: 154-159
    CrossrefPubMedGoogle Scholar
  • 31 Malliaras P, Barton CJ, Reeves ND, Langberg H. Achilles and patellar tendinopathy loading programmes: a systematic review comparing clinical outcomes and identifying potential mechanisms for effectiveness. Sports Med 2013; 43: 267-286
    CrossrefPubMedGoogle Scholar
  • 32 Marquez G, Morenilla L, Taube W, Fernandez-del-Olmo M. Effect of surface stiffness on the neural control of stretch-shortening cycle movements. Acta Physiol 2014; 212: 214-225
    CrossrefPubMedGoogle Scholar
  • 33 Munteanu SE, Barton CJ. Lower limb biomechanics during running in individuals with achilles tendinopathy: a systematic review. J Foot Ankle Res 2011; 4: 15
    CrossrefPubMedGoogle Scholar
  • 34 Nakagawa TH, Baldon Rde M, Muniz TB, Serrao FV. Relationship among eccentric hip and knee torques, symptom severity and functional capacity in females with patellofemoral pain syndrome. Phys Ther Sport 2011; 12: 133-139
    CrossrefPubMedGoogle Scholar
  • 35 Nakagawa TH, Maciel CD, Serrao FV. Trunk biomechanics and its association with hip and knee kinematics in patients with and without patellofemoral pain. Man Ther 2014; DOI: 10.1016/j.math.2014.08.013.
    PubMedGoogle Scholar
  • 36 Neviaser A, Andarawis-Puri N, Flatow E. Basic mechanisms of tendon fatigue damage. J Shoulder Elbow Surg 2012; 21: 158-163
    CrossrefPubMedGoogle Scholar
  • 37 Oliver JL, De Ste Croix MB, Lloyd RS, Williams CA. Altered neuromuscular control of leg stiffness following soccer-specific exercise. Eur J Appl Physiol 2014; 114: 2241-2249
    CrossrefPubMedGoogle Scholar
  • 38 Phinyomark A, Osis S, Hettinga BA, Leigh R, Ferber R. Gender differences in gait kinematics in runners with iliotibial band syndrome. Scand J Med Sci Sports 2015; DOI: 10.1111/sms.12394.
    PubMedGoogle Scholar
  • 39 Rabita G, Couturier A, Lambertz D. Influence of training background on the relationships between plantarflexor intrinsic stiffness and overall musculoskeletal stiffness during hopping. Eur J Appl Physiol 2008; 103: 163-171
    CrossrefPubMedGoogle Scholar
  • 40 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 2014; DOI: 10.1136/bjsports-2013-092713.
    PubMedGoogle Scholar
  • 41 Ryan M, Grau S, Taunton J, Horstmann T, Maiwald C, Krau I. Biomechanical discrimination between healthy runners and runners with mid-portion Achilles tendinopathy. Clin J Sports Med 2006; 16: 185
    PubMedGoogle Scholar
  • 42 Taube W, Leukel C, Gollhofer A. How neurons make us jump: The neural control of stretch-shortening cycle movements. Exerc Sport Sci Rev 2012; 40: 106-115
    CrossrefPubMedGoogle Scholar
  • 43 Vila-Cha C, Hassanlouei H, Farina D, Falla D. Eccentric exercise and delayed onset muscle soreness of the quadriceps induce adjustments in agonist-antagonist activity, which are dependent on the motor task. Exp Brain Res 2012; 216: 385-395
    CrossrefPubMedGoogle Scholar
  • 44 Winter D. Biomechanics and motor control of human movement. New York, NY: John Wiley & Sons; 1990
    Google Scholar
  • 45 Wu G, Siegler S, Allard P, Kirtley C, Leardini A, Rosenbaum D, Whittle M, D’Lima DD, Cristofolini L, Witte H, Schmid O, Stokes I. ISB recommendation on definitions of joint coordinate system of various joints for the reporting of human joint motion--part I: ankle, hip, and spine. J Biomech 2002; 35: 543-548
    CrossrefPubMedGoogle Scholar
  • 46 Zebis MK, Bencke J, Andersen LL, Alkjaer T, Suetta C, Mortensen P, Kjaer M, Aagaard P. Acute fatigue impairs neuromuscular activity of anterior cruciate ligament-agonist muscles in female team handball players. Scand J Med Sci Sports 2011; 21: 833-840
    CrossrefPubMedGoogle Scholar