Medicine and Health Sciences Commons^™

The Effect Of Running On The Onset And Development Of Osteoarthritis, Jordan Hekman

Senior Honors Theses

Osteoarthritis is a prominent and debilitating form of joint disease characterized by pain and deterioration of the articular cartilage and other tissues in the affected joint. Research has identified a variety of risk factors for osteoarthritis, including age, obesity, gender, previous injury, and occupation. The relationship between running and osteoarthritis is a topic of particular interest because of the prevalence of running as a simple and physiologically beneficial form of exercise. Increasing evidence suggests that recreational running has at worst no effect and at best a protective effect on joint and articular cartilage health in contrast to high-intensity professional/elite-level running …

Running Marathons In High School: A 5-Year Review Of Injury In A Structured Training Program, Mary A. Kennedy, Lauren V. Fortington, Matt Penney, Nicolas H. Hart, Pierre A. D’Hemecourt, Dai Sugimoto

Research outputs 2022 to 2026

Objective: The aim in this study was to quantify the number, nature, and severity of injuries sustained by male and female high school students who took part in a running training program that culminated in the completion of a half or full marathon. Design: This study is a retrospective clinical audit. Methods: Injury reports from high school students (grades 9 – 12) who participated in a half or full marathon 30-week progressive training program comprising four training days per week (three running days and one cross-training day) were reviewed. The number of runners completing a marathon, together with the number, …

Parkinson's Disease And Exercise: Steps Into A Hopeful Future, Jacob Barker

Spring Showcase for Research and Creative Inquiry

In the world of medicine and disease interventions, exercise is too often underlooked as a viable form of treatment or complementary treatment to medication. This is especially true with Parkinson’s Disease, a disease that attacks the basal ganglia of the brain and impairs neuromuscular function. In my analysis, I read a perspective from a PD patient, Gerry Hill, who has struggled with the disease himself and how he used physical activity to aid in his battle with the disease for both physical and psychological aid. Additionally, I performed research to understand how exercise benefits function within the brain. Aerobic exercise, …

Do People With Low Back Pain Walk Differently? A Systematic Review And Meta-Analysis, Jo Armour Smith, Heidi Stabbert, Jennifer J. Bagwell, Hsiang-Ling Teng, Vernie Wade, Szu-Ping Lee

Physical Therapy Faculty Articles and Research

Background

The biomechanics of the trunk and lower limbs during walking and running gait are frequently assessed in individuals with low back pain (LBP). Despite substantial research, it is still unclear whether consistent and generalizable changes in walking or running gait occur in association with LBP. The purpose of this systematic review was to identify whether there are differences in biomechanics during walking and running gait in individuals with acute and persistent LBP compared with back-healthy controls.

Methods

A search was conducted in PubMed, CINAHL, SPORTDiscus, and PsycINFO in June 2019 and was repeated in December 2020. Studies were included …

Epidemiology Of Ncaa Track And Field Injuries From 2010 To 2014, Chris Hopkins, Joel Williams, Mitchell J. Rauh, Lu Zhang

Open Access Fund Publications

Background:

Track and field (T&F) athletes compete in a variety of events that require different skills and training characteristics. Descriptive epidemiology studies often fail to describe event-specific injury patterns.

Purpose:

To describe the epidemiology of injuries in National Collegiate Athletic Association (NCAA) T&F by sex, setting (practice vs competition), and time of season (indoor vs outdoor) and to compare injury patterns by events within the sport.

Study Design:

Descriptive epidemiology study.

Methods:

Data were obtained from the NCAA Injury Surveillance Program for all indoor and outdoor T&F injuries during the academic years 2009-2010 to 2013-2014. Injury rates, injury rate ratios, …

Medial Tibial Stress Syndrome And Female Military Recruits, Rachael Pulsone, Christian Williams

Human Services and Rehabilitation Studies Department Faculty Works

Upon entering the military recruits are challenged physically, this is exceptionally difficult for women as their anatomy predisposes them to more impact injuries than men. Female military recruits are placed at a higher risk for shin splints, a repetition injury known in the medical field as medial tibial stress syndrome (MTSS). This review paper explores studies about MTSS, its prevalence, and expression in military recruits, particularly as its expression differs across gender. This paper will cover how the external environment of boot camp results in a higher prevalence of MTSS than the general population and how increased occurrence of MTSS …

Risk Factors For Stress Fractures In Female Runners: Results Of A Survey, Therese Johnston, Allison E Jakavick, Caroline A Mancuso, Kathleen C Mcgee, Lily Wei, Morgan L Wright, Jeremy Close, Md, Ayako Shimada, Benjamin E Leiby

Department of Rehabilitation Medicine Faculty Papers

Background: Few studies compare women with and without stress fractures and most focus on younger, elite runners.

Hypothesis/purpose: Compare risk factors between female runners with and without a stress fracture history.

Study design: Case control.

Methods: An online survey targeting women age ≥18 years was distributed primarily via social media. Questions included demographics, running details, cross training, nutrition, injury history, medical/menstrual history, and medications. Women with stress fracture histories answered questions about location, number, and changes made. Data were compared between groups using t-tests, chi-square tests, or Fisher's exact tests. Multivariable logistic regression models simultaneously investigated associations of multiple factors …

Physiological Factors Of Female Runners With And Without Stress Fracture Histories: A Pilot Study., Therese E Johnston, Colleen Dempsey, Frances Gilman, Ryan Tomlinson, Ann-Katrin Jacketti, Jeremy Close

Department of Physical Therapy Faculty Papers

BACKGROUND: Female runners are at increased risk of stress fractures (SFs) compared with men. Literature is lacking with regard to best practice for preventing and treating SFs in women. The purpose of the study was to compare physiological measures and running-related factors between women of various ages and running abilities with and without a history of running-related SFs.

HYPOTHESIS: Women with and without SF histories will differ with regard to medical and menstrual history, bone health, body composition, nutrition, and running history.

STUDY DESIGN: Prospective cohort study.

LEVEL OF EVIDENCE: Level 2.

METHODS: A total of 20 female runners with …

Perceptions Of Risk For Stress Fractures: A Qualitative Study Of Female Runners With And Without Stress Fracture Histories., Therese E Johnston, Jeremy Close, Phil Jamora, Susan F Wainwright

Department of Physical Therapy Faculty Papers

OBJECTIVES: To gain insight into perceived factors related to bone health and stress fracture (SF) prevention for female runners and to understand their experiences within the medical community.

DESIGN: Cohort qualitative study.

SETTING: University health system.

PARTICIPANTS: Forty female runners, 20 who had SF histories and 20 age-and-running-distance matched women without SF.

MAIN OUTCOME MEASURES: Women participated in audiotaped qualitative semi-structured interviews. For women with a SF history, questions sought their perspectives on factors that they felt contributed to SF, experiences with the medical community, and changes made post SF. For women without a SF history, questions sought perspectives on …

Recreation Center_ Virtual Run/Walk Challenge Email, Thad Dwyer

Recreation Center

Email from Thad Dwyer, Assistant Director of Intramural Sports New Balance Recreation Center regarding a virtual run/walk challenge in April 2020 during the COVID-19 pandemic.

Acute Exercise On Memory Function: Open Vs. Closed Skilled Exercise, Justin Cantrelle, Grace Burnett, Paul D. Loprinzi

Faculty and Student Publications

© 2020 The Author(s). Background: Previous studies suggest that acute exercise may improve memory function. Few studies, however, have investigated the differential effect of the acute exercise movement patterns on memory. Such an effect is plausible, as research demonstrates that open-skilled exercise (e.g., racquetball) may have a greater effect on memory-related neurotrophins (e.g., brain-derived neurotrophic factors) when compared to closed-skilled exercise (e.g. treadmill exercise). A key distinction between open- and closed-skilled exercise is that open-skilled exercises are those that require an individual to react in a dynamic way to a changing, unpredictable environment. Our aim in this study was to …

Kinematic And Coordination Variability In Runners With And Without Patellofemoral Pain, Jessica Mutchler, Klarie Macias, Barry Munkasy, Samuel J. Wilson, John C. Garner Iii, Li Li

Department of Health Sciences and Kinesiology Faculty Publications

Background: Patellofemoral pain (PFP) is a common overuse injury that has been suggested to cause abnormal gait kinematics and variability in runners with PFP. Conflicting results have been presented as to the variability of joint kinematics and joint coordination. Objective: The purpose of this study was to examine the variability of lower extremity kinematics and joint coordination in the presence of PFP and exertion. Methods: Six female runners with PFP and matched controls (CON) ran at a self-selected pace on an instrumented treadmill until exertion or pain criteria was met. Sixteen anatomical retroreflective markers and seven tracking clusters were placed …

Transcranial Direct Current Stimulation Of Motor Cortex Enhances Running Performance., Seung-Bo Park, Dong Jun Sung, Bokyung Kim, Sojung Kim, Joung-Kyue Han

Faculty Scholarship for the College of Science & Mathematics

Transcranial direct current stimulation (tDCS) is a technique used to modulate neuronal excitability through non-invasive brain stimulation that can enhance exercise performance. We hypothesize that tDCS would improve submaximal running time to exhaustion (TTE) and delay the increase in the rating of perceived exertion (RPE) over time. We also hypothesize that tDCS would not lead to difference in cardiorespiratory responses. We employed a randomized, single-blinded, and counterbalanced design in which 10 trained men participated. After receiving either 20 min of 1.98 mA anodal tDCS applied over the primary motor cortex (M1) or sham-operated control on separate days, participants completed a …

'Mini-Interval Gait' Switching: Understanding The Positive Implications Of A Novel Training Regime, James L. Croft, John E. A. Bertram

Research outputs 2014 to 2021

The neuromechanical reorganization required to change gaits imposes an energetic cost 75% greater than either a walking or running step at the same speed. By combining walking and running with the requisite gait switching transition steps, an exercise protocol can be generated with virtually any desired metabolic output even at relatively slow treadmill speed. Gait switching increases metabolic demand through discrete events, which can be tolerated more easily by individuals recovering from health problems, just as interval training allows greater work production for healthy individuals. In addition to cardio-respiratory benefits, ‘mini-intervals’ with frequent gait switching also provides positive effects and …

Supplemental Training And Injury Prevention In The Sport Of Ultra-Running, Jessica M. Heidebrink

Senior Honors Theses

By definition, ultra-marathon running is a sport that covers any distance above the 26.2-mile marathon distance in a single race. The mountains of Virginia host many ultra-marathon races that attract endurance runners from all over the nation to participate. Training is an essential component of running an ultra. Although there is not one specific way to train for an ultra, there is research that correlates the success of the top ultra-runners and their training preferences regarding supplemental training and injury prevention. To gain a more complete understanding of how to prepare for a successful ultra-marathon, an online survey was created …

Physiological And Biomechanical Responses Of Highly Trained Distance Runners To Lower-Body Positive Pressure Treadmill Running, Kyle Barnes, Jessica N. Janecke

Funded Articles

Background: As a way to train at faster running speeds, add training volume, prevent injury, or rehabilitate after an injury, lower-body positive pressure treadmills (LBPPT) have become increasingly commonplace among athletes. However, there are conflicting evidence and a paucity of data describing the physiological and biomechanical responses to LBPPT running in highly trained or elite caliber runners at the running speeds they habitually train at, which are considerably faster than those of recreational runners. Furthermore, data is lacking regarding female runners’ responses to LBPPT running. Therefore, this study was designed to evaluate the physiological and biomechanical responses to LBPPT …

Comparisons Of Perceived Training Doses In Champion Collegiate-Level Male And Female Cross-Country Runners And Coaches Over The Course Of A Competitive Season, Kyle Barnes

Funded Articles

Background: Session rating of perceived exertion (sRPE) is a practical tool for coaches to assess internal training load of their athletes. In a sport like cross-country running, that is individual in nature, but has a team training and competition component, information about the association between external and internal load is lacking. Furthermore, there is a need for studies that examine perception of training doses across multiple training cycles including the competitive season as well as between male and female athletes.

Methods: Session RPE, duration, and training load (TL_RPE = sRPE × duration) of 25 highly trained male …

Innovative Running Related Researches, Li Li

Department of Health Sciences and Kinesiology Faculty Publications

There was a surge in published research related to barefoot running in the past 2 decades, and especially in the past 5 years. For example, the number of returns for “barefoot running” in Google Scholar increased dramatically relative to the search returns for “running” (Fig. 1). “Running” related returns started at about 220,000 in 1997 and peaked at about 376,000 in 2007 (a 0.7 times increase) and gradually decreased to less than 70,000 in 2016. In contrast, “barefoot running” related returns started at 945 in 1997 and peaked at 5010 in 2012 (a 4.3 times increase). Between 2007 and 2012, …

The Effect Of Barefoot Running Using Two Running Styles On Lower Extremity Joint Reaction Forces, Jamie M. Rogers

Senior Honors Theses

Running is a popular worldwide activity with many varying biomechanical techniques. Investigating potential differences in joint forces can be beneficial in determining if there is a superior biomechanical running pattern. Previous research compared barefoot and shod running, as well as the kinetic effects of varied running styles. The current study investigated the differences in internal joint reaction forces (JRF) at the hip, knee, and ankle joints during running with two different styles. Ten male and ten female participants who naturally run with a rearfoot strike pattern were included in this study. Each subject ran barefoot on an instrumented treadmill for …

Pilot Study Of Endurance Runners And Brain Responses Associated With Delay Discounting, Laura E. Martin, Jason-Flor V. Sisante, David R. Wilson, Angela A. Moody, Cary R. Savage, Sandra A. Billinger

Center for Brain, Biology, and Behavior: Faculty and Staff Publications

High levels of endurance training have been associated with potentially negative health outcomes and addictive-like symptoms such as exercise in the presence of injury and higher levels of impulsivity. This pilot study examined the relationships among self-report measures of addictive symptoms related to exercise and behavioral and neural measures of impulsivity in endurance runners. We hypothesized endurance runners would have increased preference for immediate rewards and greater activation of cognitive control regions when making decisions involving delayed rewards. Twenty endurance runners (at least 20 miles/week) were recruited to undergo measures of self-report exercise addiction symptoms, impulsive decision-making (delay discounting) and …

Adaptations Of Lumbar Biomechanics After Four Weeks Of Running Training With Minimalist Footwear And Technique Guidance: Implications For Running-Related Lower Back Pain, Szu-Ping Lee, Joshua P. Bailey, Jo Armour Smith, Stephanie Barton, David Brown, Talia Joyce

Physical Therapy Faculty Articles and Research

Objectives

To investigate the changes in lumbar kinematic and paraspinal muscle activation before, during, and after a 4-week minimalist running training.

Design

Prospective cohort study.

Setting

University research laboratory.

Participants

Seventeen habitually shod recreational runners who run 10–50 km per week.

Main outcome measures

During stance phases of running, sagittal lumbar kinematics was recorded using an electrogoniometer, and activities of the lumbar paraspinal muscles were assessed by electromyography. Runners were asked to run at a prescribed speed (3.1 m/s) and a self-selected speed.

Results

For the 3.1 m/s running speed, significant differences were found in the calculated mean lumbar posture …

Muscle Cramping During A 161-Km Ultramarathon: Comparison Of Characteristics Of Those With And Without Cramping, Martin D. Hoffman, Kristin J. Stuempfle

Health Sciences Faculty Publications

Background: This work sought to identify characteristics differing between those with and without muscle cramping during a 161-km ultramarathon.

Methods: In this observational study, race participants underwent body weight measurements before, during, and after the race; completed a post-race questionnaire about muscle cramping and “near” cramping (controllable, not reaching full-blown cramping), drinking strategies, and use of sodium supplementation during four race segments; and underwent a post-race blood draw for determination of serum sodium and blood creatine kinase (CK) concentrations.

Results: The post-race questionnaire was completed by 280 (74.5 %) of the 376 starters. A post-race blood sample was provided by …

Male And Female Runners Demonstrate Different Sagittal Plane Mechanics As A Function Of Static Hamstring Flexibility, D. S. Blaise Williams Iii, Lee M. Welch

Physical Therapy Publications

Background:

Injuries to runners are common. However, there are many potential contributing factors to injury. While lack of flexibility alone is commonly related to injury, there are clear differences in hamstring flexibility between males and females.

Objective:

To compare the effect of static hamstring length on sagittal plane mechanics between male and female runners.

Method:

Forty subjects (30.0±6.4 years) participated and were placed in one of 4 groups: flexible males (n=10), inflexible males (n=10), flexible females (n=10), and inflexible females (n=10). All subjects were free of injury at the time of data collection. Three-dimensional kinematics and kinetics were collected while …

Six Weeks Habituation Of Simulated Barefoot Running Induces Neuromuscular Adaptations And Changes In Foot Strike Patterns In Female Runners, Iman Akef Khowailed, Jerrold S. Petrofsky, Everett Lohman, Noha Daher

College of Health & Human Services (TUN) Publications and Research

BACKGROUND: The aim of this study was to examine the effects of a 6-week training program of simulated barefoot running (SBR) on running kinetics in habitually shod (wearing shoes) female recreational runners.
MATERIAL AND METHODS: Twelve female runners age 25.7±3.4 years gradually increased running distance in Vibram FiveFingers minimal shoes over a 6-week period. The kinetic analysis of treadmill running at 10 Km/h was performed pre- and post-intervention in shod running, non-habituated SBR, and habituated SBR conditions. Spatiotemporal parameters, ground reaction force components, and electromyography (EMG) were measured in all conditions.
RESULTS: Post-intervention data indicated a significant …

Thermoregulatory Responses Of Runners Following A Warm-Weather Road Race, Luke N. Belval

University Scholar Projects

Purpose: To quantify the skin temperature changes following intense exercise in warm-weather. Methods: Anterior thermal images and gastrointestinal temperature (TGI) from 20 male runners (mean±SD; 73.5 ± 10.9 kg) participating in a 11.2 km road race were collected before and immediately after the race. Wet-bulb globe temperature (WBGT) and wind speed were recorded at the finish line. Infrared thermal images were divided into 11 distinct regions, superior torso (ST), inferior torso (IT), face (F), right forearm (RF), left forearm (LF), right upper arm (RUA), left upper arm (LUA), right thigh (RT), left thigh (LT), right lower leg (RLL) and left …

Improving Running Performance Using Non-Running Tasks, Darien Lewis

Honors College

For decades researchers and runners have endeavored to improve endurance running performance. Recent evidence suggests that adding resistance training to a running program can improve running performance. Our purpose was to determine if 6wks of resistance exercise via negative eccentrically-induced work (RENEW), an exercise that increases muscle size, strength, and stiffness, could serve as an effective “non-running” modality for improving running performance. Recreational runners were assigned to a: RENEW (n=7), plyometric (PLYO, n=7), or control (CON, n=7) group. RENEW trained on an eccentric ergometer (3x/wk, 10-30min, 54-66% of peak heart rate) while the PLYO performed …

Understanding Ultramarathoners: Identifying Markers Of Success In Ultras Through An Objective Survey Of Ultramarathoners, Renee A. Cabalka Mrs.

Senior Honors Theses

An ultramarathon (ultra) is defined as a race longer in time or distance than a marathon. Studies have been done to identify factors, which contribute to successful completion of other ultra endurance events. The purpose of this study was to determine factors that contribute to the successful completion of an ultramarathon by collecting data via an objective survey. The subjects of this survey were participants in the 2013 Mountain Masochist Trail Race (MMTR) 50 miler. The survey included factors such as gender, age, height, weight, body mass index (BMI), training age, and ultra experience. The survey data was collected and …

Runner Identity And Sponsorship: Evaluating The Rock ‘N’ Roll Marathon, Nancy L. Lough, Jennifer Pharr, Jason O. Owen

Environmental & Occupational Health Faculty Publications

The economic value of participation sport has been reported to eclipse spectator sport significantly. However, scholars have acknowledged the relative lack of research on this important segment of the sport market. The purpose of this study was to analyze the relationship between runner identity and race sponsor effectiveness. Surveys were sent to participants in the Las Vegas Rock ‘n’ Roll Marathon. The survey was constructed to measure runner identity, and sponsor effectiveness as interpreted through rates of recognition, recall and purchase intention. Runners were divided into three groups based on their runner identity score. Of the predictive variables, only runner …

Iron Status And The Acute Post-Exercise Hepcidin Response In Athletes, Peter Peeling, Marc Sim, Claire E. Badenhorst, Brian Dawson, Andrew D. Govus, Chris R. Abbiss, Dorine W. Swinkels, Debbie Trinder

Research outputs 2014 to 2021

This study explored the relationship between serum ferritin and hepcidin in athletes. Baseline serum ferritin levels of 54 athletes from the control trial of five investigations conducted in our laboratory were considered; athletes were grouped according to values 100 mg/L (SF>100). Data pooling resulted in each athlete completing one of five running sessions: (1) 8x3 min at 85% vVO2peak; (2) 5x4 min at 90% vVO2peak; (3) 90 min continuous at 75% vVO2peak; (4) 40 min continuous at 75% vVO 2peak; (5) 40 min continuous at 65% vVO2peak. Athletes from each running session were represented amongst all four groups; hence, …

Influence Of Age And Sex On Pacing During Sprint, Olympic, Half-Ironman And Ironman Triathlons. Part B, Sam Shi Xuan Wu, Jeremiah J. Peiffer, Jeanick Brisswalter, Wing Y. Lau, Kazunori Nosaka, Christopher Abbiss

Research outputs 2014 to 2021

The aim of this study was to investigate the influence of biological sex and age on the pacing strategies adopted by non-drafting top triathletes during the cycle and run disciplines of a Sprint, Olympic, half-Ironman and Ironman triathlon. Split times of the top 20% non-elite males (n=468) and females (n=146) were determined using official race transponders and a video capture system for pre-determined sections of the cycle and run disciplines of four triathlon distances. Indices of pacing were calculated to compare between sexes and age-groups. Results of this study indicated that different pacing strategies were adopted between athletes of different …