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“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.

International Journal of Sports Physiology and Performance


© 2018 Human Kinetics, Inc.

Note. This article will be published in a forthcoming issue of the


International Journal of Sports Physiology and Performance. The
article appears here in its accepted, peer-reviewed form, as it was
provided by the submitting author. It has not been copyedited,
proofread, or formatted by the publisher.

Section: Original Investigation

Article Title: Running Economy: Neuromuscular and Joint Stiffness Contributions in


Trained Runners

Authors: Nicholas Tam1,2, Ross Tucker3, Jordan Santos-Concejero4, Danielle Prins1, and
Robert P. Lamberts1,5

Affiliations: 1Division of Exercise Science and Sports Medicine, Department of Human


Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
2
Department of Physiology, Faculty of Medicine and Nursing, University of the Basque
Country UPV/EHU, Leioa, Spain. 3World Rugby, Dublin, Ireland. 4Department of Physical
Education and Sport, Faculty of Education and Sport, University of the Basque Country
UPV/EHU, Vitoria-Gasteiz, Spain. 5Institute of Sport and Exercise Medicine, Division of
Orthopaedic Surgery, Department of Surgery, Faculty of Medicine and Health Sciences,
Stellenbosch University, Tygerberg, South Africa.

Journal: International Journal of Sports Physiology and Performance

Acceptance Date: May 16, 2018

©2018 Human Kinetics, Inc.

DOI: https://doi.org/10.1123/ijspp.2018-0151
“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.

Running economy: neuromuscular and joint stiffness contributions in trained runners

Original investigation

Nicholas Tam1,2, Ross Tucker3, Jordan Santos-Concejero4, Danielle Prins1, Robert P.


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Lamberts1,5.

1
– Division of Exercise Science and Sports Medicine, Department of Human Biology,
Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
2
– Department of Physiology, Faculty of Medicine and Nursing, University of the Basque
Country UPV/EHU, Leioa, Spain.
3
- World Rugby, Dublin, Ireland
4
– Department of Physical Education and Sport, Faculty of Education and Sport, University
of the Basque Country UPV/EHU, Vitoria-Gasteiz, Spain
5
– Institute of Sport and Exercise Medicine, Division of Orthopaedic Surgery, Department of
Surgery, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg,
South Africa.

Address for Correspondence:


Nicholas Tam
Department of Physiology, Faculty of Medicine and Nursing,
University of the Basque Country UPV/EHU, Leioa, Spain
Telephone: +34(0)946013511
Email: nicholas.tam@ehu.es

Running head: Biomechanical factors & running economy

Abstract word count: 224

Text word count: 3333

Number of Figures and Tables: 4


“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.

Abstract

It is debated whether running biomechanics make good predictors of running economy, with

little known information about the neuromuscular and joint stiffness contributions to

economical running gait. Purpose: The aim of this study was to understand the relationship

between certain neuromuscular and spatiotemporal biomechanical factors associated with

running economy. Methods: Thirty trained runners performed a 6-minute constant-speed


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running set at 3.3 ms-1, where oxygen consumption was assessed. Overground running trials

were also performed at 3.3 ms-1 to assess kinematics, kinetics and muscle activity.

Spatiotemporal gait variables, joint stiffness, pre-activation and stance phase muscle activity

(gluteus medius; rectus femoris (RF); biceps femoris(BF); peroneus longus (PL); tibialis

anterior (TA); gastrocnemius lateralis and medius (LG and MG) were variables of specific

interest and thus determined. Additionally, pre-activation and ground contact of

agonist:antagonist co-activation were calculated. Results: More economical runners

presented with short ground contact times (r=0.639, p<0.001) and greater strides frequencies

(r=-0.630, p<0.001). Lower ankle and greater knee stiffness were associated with lower

oxygen consumption (r=0.527, p=0.007 & r=0.384, p=0.043, respectively). Only LG:TA co-

activation during stance were associated with lower oxygen cost of transport (r=0.672,

p<0.0001). Conclusions: Greater muscle pre-activation and bi-articular muscle activity during

stance were associated with more economical runners. Consequently, trained runners who

exhibit greater neuromuscular activation prior to and during ground contact, in turn optimise

spatiotemporal variables and joint stiffness, will be the most economical runners.

Keywords: oxygen cost of transport; running performance; electromyography; gait.


“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.

Introduction:

Running economy, defined as the oxygen or energy cost of transport, has been found

to be an important and reliable predictor of running performance 1. The value of running

economy as a performance predictor arises because both metabolic and biomechanical

aspects contribute to it, and by extension, running performance. Metabolic mechanisms

involve improving energy pathways through physiological adaptations that encompass


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cardiopulmonary enhancements, optimization of fuel metabolism pathways and improvement


1–3
of the stretch shortening cycle of muscle fibres . Although these factors play a crucial role

in running performance, additional factors such as effective running biomechanics and

neuromuscular control are of interest to coaches and applied sports scientists as they are

relatively easy to assess, and may be more modifiable.

Recently, Moore (2016) published a review article clarifying the current understanding

of the relationship between a range of modifiable biomechanical factors and running economy
4
. These relationships were classified as either beneficial, conflicting or limited/unknown. Most

relationships explored in that review involved spatiotemporal running parameters such as


5–9
ground contact time, flight time, stride length and frequency . These relationships ranged

from beneficial, e.g. self-selected stride length, to conflicting, such as ground contact time and
4,7,10
swing time . Other biomechanical factors which may influence running economy were

discussed. Examples of these include ground reaction forces, swing phase characteristics,

joint stiffness and footstrike pattern. These too were noted to have a conflicting and/or under
10–13
investigated relationship with running economy , while the alignment of the ground

reaction force resultant vector and the leg axis during stance, leg stiffness, stride angles did

show good relationships with running economy 13,14.

In addition to these biomechanical features, certain neuromuscular factors controlling

movement initiation and regulation, such as muscle activation during propulsion and agonist-

antagonist co-activation are also believed to influence running economy, though fewer studies
15
have explored this relationship to date . Interestingly, research participants involved in
“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.

5,8
studying these relationships vary from novice runners to elite runners and it is well-

described that with running training, physiological and biomechanical changes take place.

Thus, relationships found between running economy and biomechanical or physiological

variables between various trained groups should differ.

To our knowledge, no study has explored the effect of muscle activation and

spatiotemporal distance gait parameters on oxygen transport costs in trained runners. We


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hypothesized that better runners would display a lower oxygen cost of transport, and would

present with shorter ground contact times, higher stride frequencies and muscle-activation

related differences in joint stiffness.

Methods:

Thirty trained male runners (age: 25.8 ± 5.0 years; body mass: 66.0 ± 13.3 kg; height:

175.2 ± 7.5 cm) participated in this study and were able to run 10-km in < 45 minutes

(Supplementary Figure 1). All runners were free of injury six months prior to participating in

this study and wore their preferred running shoes throughout the study. Before participating

all runners signed an informed consent, while ethical approval for the study was granted by

the academic institution.

Runners completed a constant-speed running set of 6 minutes at 3.3 ms-1, with the

treadmill incline set at 1% 16. This running speed was chosen as being representative of their

self-reported easy training pace, this is equivalent to a 50-min 10-km run. During the test, gas

exchange data were collected continuously using an automated breath-by-breath system

(COSMED Quark CPET, Rome, Italy), which was calibrated before each session according to

the instructions of the manufacturer. To ensure VO2 steady-state measurements, the speed

selected was slower than the individual lactate threshold of each athlete (further confirmed

during the test by respiratory exchange ratios being below 1.0 during the whole running bout

for all athletes at each speed). VO2 (mlO2·kg−1·min−1) values collected during the last 30 s of

the running bout were averaged and designated as steady-state oxygen cost of transport

(mlO2·kg−1·min−1) a marker of running economy.


“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.

Subsequent overground running trials for the determination of biomechanical factors

were conducted on a 60-m indoor synthetic running track. Participants completed six clean

trials in the shod condition at 3.3 ms-1.

Three-dimensional marker trajectories were captured using an eight-camera VICON

MX motion analysis system (Oxford Metrics Ltd, UK), sampling at 250 Hz using a modified

Helen-Hayes marker set. Ground reaction force (GRF) data were collected using two 900 ×
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600 mm force platform (AMTI, USA), sampling at 2000 Hz, synchronised with the motion

capture system. Surface electromyography (EMG) was measured on seven right lower limb

muscles, namely gluteus medius (GM), rectus femoris (RF), biceps femoris (BF), peroneus

longus, tibialis anterior (TA) and gastrocnemius lateralis and medius (LG and MG,

respectively). Prior to placement, the skin areas were prepared and two surface electrodes
17
placed on the muscle location according to SENIAM guidelines . Leads and pre-amplifiers

connected to the electrodes were secured with medical grade tape to avoid artefacts from

lower limb movement during running. The transmitter unit was secured in a harness strapped

to the participant’s back and data sampled at 2000 Hz (Noraxon 2400T G2, Noraxon, USA).

After completing running trials at the designated speeds, the runners then completed three

maximal sprints down the 60-m runway.

Marker trajectory and kinetic data were filtered using a low-pass fourth-order

Butterworth filter with a cut-off frequency of 8 and 60 Hz, respectively. For each trial, one

complete gait cycle was analysed. The lower body PlugInGait model calculated three-

dimensional lower extremity joint angles and net resultant joint moments using a Newton-Euler

inverse dynamics approach using this data. Joint angles were de-scribed using the joint

coordinate system 18. Three-dimensional joint moments were expressed as external moments

normalised to body mass (Nm·kg-1).

Knee and ankle joint angles and moments were extracted for each participant’s right

limb and were averaged over the 6 trials. Stance phase was the time over which a vertical

force exceeded one standard deviation (SD) above baseline force platform noise and
“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.

continued to elevate until toe-off (vertical force <1 SD baseline). Further, peak vertical ground

reaction force (in body weight (BW) units) extracted and vertical initial rate loading rate (BW·s-
1
) quantified between 200 N and 90% of the impact transient peak (first peak prior to

maximum). When no distinct impact transient was present, the same parameters were

measured using the average percentage of stance ±1 SD as determined for each condition in
19
trials with an impact transient . Sagittal plane knee and ankle stiffness (quasi-torsional
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stiffness) were calculated for load acceptance phase according previous published methods
20
. Specifically, the load acceptance phase is the point at which the joint angle reached

maximum flexion in mid-stance of the ground contact phase. The angular distance from initial

touchdown to maximum flexion angle in mid-stance was determined and the magnitude of the

moment at the same points. A linear fit of the torque-angle was determined as the magnitude

of joint stiffness

The raw digital EMG signal of both sub-maximal and sprint trials were rectified and root
21
mean squared (RMS) analysis performed at 50 Hz to smooth the data . Average EMG

amplitude was calculated for pre-activation and stance phase, reported as a percentage of

maximal sprint. Pre-activation was defined as the EMG activity 100 ms before ground contact.

Further, RF:BF, RF:GM and LG:TA agonist-antagonist muscle co-activation ratios were
22
computed for each phase . Agonist: antagonist EMG ratios of 1.0 indicate equal activation

of the two antagonistic muscles, whereas co-activation ratios greater than 1.0 indicate

increased agonist (RF or LG) activation compared with the antagonist (BF, GM or TA)

muscles. Ratios less than 1 indicate greater activity of the antagonist relative to the agonist

muscle 22.

Statistical analysis:

Data were screened for normality of distribution using a Shapiro-Wilk Normality Test.

Effect sizes (ES) were calculated using a Cohen's d and assessed according to the scale
23
proposed by Hopkins et al (2009) . Relationships between EMG and metabolic, kinematic

and kinetic variables were assessed with Pearson’s correlations for data that were parametric
“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.

or Spearman’s Rho correlations for non-parametric data. 95% confidence intervals (CI) were

calculated for the correlations. Differences were deemed statistically significant at p<0.05.

Statistical analyses were performed using SPSS version 22 (IBM Corporation, USA) and

Prism 6 (GraphPad Software Inc., USA).

Results:

Descriptive characteristics of the runners are presented in Table 1, with the runners’
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10-km time ranging from 28.10 – 44.82 minutes. Across the whole group, reduced oxygen

cost of transport was associated with shorter ground contact times (r=0.639, p<0.001, large

effect) and greater stride frequency (r=-0.630, p<0.001, large effect) (Figure 1A & B,

respectively). Stride duration, length and swing time were not associated with oxygen cost of

transport (Figure 1C; D & E, respectively).

Oxygen cost of transport was related to measures of both knee and ankle joint stiffness

(Figure 2). As ankle stiffness increased, oxygen cost of transport increased (r=0.527, p=0.007,

large effect) (Figure 2A), whereas higher knee stiffness was associated with a lower oxygen

cost of transport (r=0.384, p=0.043, moderate effect) (Figure 2B). With regards muscle co-

activation, as the ratio of LG to TA co-activation at ground contact increased (indicative of

relatively greater LG activation), oxygen cost of transport increased (r=0.672, p<0.0001, large

effect) (Figure 2C).

For pre-activation of the lower limb, oxygen cost of transport was unaffected by tibialis

anterior pre-activation. However, oxygen cost of transport was reduced as pre-activation of

both medial and lateral gastrocnemius increased (r=-0.661, p<0.0001, large effect and r=-

0.535, p=0.003, large effect respectively) (Table 2). In addition, higher peroneus longus pre-

activation was associated with reduced oxygen cost of transport (r=-0.518, p=0.004).

Oxygen cost of transport was negatively associated with biceps femoris and gluteus

medius pre-activation (r=-0.431, p=0.019, moderate effect and r=-0.442, p=0.016, moderate

effect, respectively), as well as rectus femoris pre-activation (r=-0.373, p=0.046) (Table 2).
“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.

During ground contact, fewer relationships between muscle activation and running

economy were found. However, both higher medial gastrocnemius activation and higher

rectus femoris during ground contact time were associated with a lower oxygen cost of

transport (r=0.526, p=0.002, large effect).

Discussion:

The aim of this study was to investigate the influence of muscle activation and
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spatiotemporal gait parameters on oxygen cost of transport in runners ranging in ability from

elite to merely trained. In particular, we wished to address previous studies conflicting findings

relationship between spatiotemporal factors and oxygen cost of transport and wished to further

explore the under-researched influence of neuromuscular factors on oxygen cost of transport.

A novel and important aspect of this study was the wide range of running abilities, and

running economies, of participants in the study – the oxygen cost of transport ranged from

174.93 to 242.73 mlkg-1km-1. This is important because many previous studies in trained

runners have assessed more homogenous groups 7, including other studies on elite Kenyan

runners 24, and conflicting findings for these associations 10,12


. By evaluating a large group of

runners spanning a range of running abilities, the present study was better able to discern how

these factors affect this important physiological predictor of performance.

The first important findings of this study were the observed relationships between

greater pre-activation of the lower limb posterior musculature and improved running economy.

This suggests that greater pre-activation reduces the metabolic demand of running, and thus

lower the oxygen cost of transport. This emphasises the importance of neuromuscular pre-

activation in the biomechanical preparation for ground contact to optimizing joint stiffness and

stability for efficient running 15. The mechanism for this reduction in oxygen cost as a result of

increased pre-activation may be that pre-emptive neuromuscular control of the joint decreases

the need for corrective muscle activation at and after ground contract where loading forces

are applied to joints. The ability for the muscles to anticipate the magnitude of force they are

required to tune to or attenuate may optimize joint stabilisation as well as cost-effective energy
“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.

25
transfer for forward motion . The latter agrees with Hamner et al., 2010, who found that the

posterior musculature contributed to about half of the peak vertical support after initial contact
26
. Thus, the ability for muscles to tune or pre-activate prior to ground contact may enable

runners to efficiently transfer energy during the braking phase towards propulsion.

Previously it has been hypothesised that an increase in muscle activation would


27
increase the energy cost of running . This may well be the case but was observed in the
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biceps femoris and gastrocnemius during ground contact while running at 5 ms-1. In the

present study, we find no such relationship, either at ground contact or during pre-activation

when running at 3.3 ms-1. This may be because the pre-activation serves to reduce the need

for muscle activity during ground contact, as described, or may be the result of different

running speeds 9.

Interestingly, the effect sizes of the pre-activation correlations and oxygen cost of

transport reported in this study appear to be larger at the distal end of the lower limb with

smaller effects proximally. The only anterior muscle found to correlate with running economy

was rectus femoris, although it only bore a small effect. Collectively, these findings suggest

the importance of muscle pre-activation in regulating leg stiffness especially from the distal
28
lower limb that makes first contact with the ground . In addition, this finding supports the

small contribution of tibialis anterior pre-activation on both stiffness and running economy.

Another notable finding was that greater rectus femoris and medial gastrocnemius

activation during ground contact was associated with reduced oxygen cost of transport. These

observations may support the findings of Heise et al. who described an improved oxygen cost

of transport with longer activation of bi-articular muscles during swing 29. However, in contrast

to Heise et al, our findings relate to the ground contact phase rather than swing phase. These

findings further suggest that the most economical runners rely on greater bi-articular muscle

activation, like rectus femoris to perform the dual role of hip flexion and knee extension.

Similarly, the medial gastrocnemius acts to perform both knee flexion and plantarflexion. In

contrast to mono-articular muscles that may require substantially greater energy to perform
“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.

30
singular functions . As such, bi-articular muscles appear energy efficient as they span two

joints and simultaneously work to provide optimal stability of multiple joints and efficiently

transfer elastic energy return from muscle tendon to propulsion 31.

A further finding of this study was that lower oxygen cost of transport was associated

with lower lateral gastrocnemius – tibialis anterior co-activation during ground contact. This

observation suggests that excessive lateral gastrocnemius activity, relative to tibialis anterior
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activity, is costly to oxygen cost of transport. In addition, a large co-activation ratio may not

just be inefficient and metabolically costly, it may not allow the joint to actively attenuate the

load through movement but instead through muscle tuning during the ground contact phase
25
.

We found that oxygen cost was positively correlated with ankle stiffness. This finding

supports the previous finding on lateral gastrocnemius – tibialis anterior co-activation ratio

during ground contact and running economy, since increasing lateral gastrocnemius activity,

which we found increases oxygen cost, may increase the stiffness of the ankle. In addition,

balanced or equitable activity of the shank muscles may be favourable metabolically, as the

gastrocnemius is a bi-articular muscle that would provide efficient joint stabilization across to

the ankle and knee 29.

Interestingly, oxygen cost of transport was inversely associated with knee stiffness.

This suggests that knee joint stability is important for running performance, and whether or not

this stiffness maybe harmful for joint health remains to be elucidated. Previous research has

associated greater agonist-antagonist muscle co-activation ratio of the thigh with increased
15
knee stiffness during ground contact . Collectively, we are able to further understand the

intricate relationship between muscle activation (neuromuscular co-ordination) and its

influence on joint stiffness (resultant biomechanics) on running performance.

Lastly, the only observed spatiotemporal relationships associated with a favourable

metabolic cost were reduced ground contact time and increased stride frequency during

running at 3.3 ms-1. Both these spatiotemporal factors combine to attain optimal metabolic
“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.

efficiency when running at 3.3 ms-1, inferring that successful runners are those that are able

to minimise their ground contact time whilst increasing their stride frequency. Black et al.

(2017) suggested that the optimum speed for economical running would fall within 70% of an

athlete’s lactate turn point, which was found to be 3.61 ms-1 in their cohort 32. Collectively, the

data from this current study and that of previous research 7,32 illustrate that when running at a

comfortable self-selected speed, the optimal associated biomechanics will involve shorter
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ground contact times and higher stride frequencies.

Mechanistically, shorter ground contact times may reduce the duration of the braking

phase during stance. This is usually associated with greater pre-activation of the shank

muscles, which has been proposed to increase the sensitivity of the muscle spindle

potentiating stretch reflexes to enhance musculotendinous stiffness, thus improving running

economy 33. Regarding stride frequency, our results also agree with previous literature 34.

An important reason why this relationship between these spatiotemporal variables and
4,7,10
running economy remains conflicted may be athlete training status and the subsequent
32
running speed selected for assessment as discussed by Black et al. . In this respect, we

emphasize that the relationships we describe in this study are present in a group of trained

runners of wide-ranging abilities and running economies. We suggest that this highlights the

complexity and multi-factorial nature of running economy, which makes discerning

relationships in very homogenous groups very difficult. Previous studies have often concluded

that no relationship exists between running economy and these variables, when in fact they

may simply be observing a phenomenon across too narrow a range of the outcome variable

(oxygen cost of transport, in this case), and the predictor variable (spatiotemporal variables).

It must be acknowledged that the speed assessed in this study represents a relatively

low intensity for the elite runners than for the trained group, relative to their 10-km race time.

However, we ensured that no athlete was running beyond their threshold intensity using an

RER of 1.0 as a cut-off, and so believe the values to be valid. However, we cannot discount

that biomechanical changes at relatively slower speeds for the elite runners may make the
“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.

comparison with trained runners at relatively higher speeds an imperfect one. Finally, a

limitation of this study is that oxygen cost was assessed on a treadmill, whereas

spatiotemporal factors and muscle activation were measured during overground running at a

different time. However, running speeds were ensured to be well replicated between trials.

Practical Applications:

The assessment of running economy has been proposed as a favourable measure to


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identify and stratify athletes with great potential and has been known to be especially good at

doing this in athletes with very similar VO2 values. With this in mind, it is much debated about

the ability of various biomechanical and neuromuscular variables associated with a lower

oxygen cost of transport (running economy). This study has found that in general trained

runners with broad running abilities (< 45 min 10-km time) that shorter ground contact times

and greater stride frequencies are desirable. In addition, the ability to exhibit greater muscular

pre-activation is beneficial in lower the oxygen cost of transport. Thus, trained runners may

find it beneficial to included exercises that improve gait technique and neuromuscular

responses to ground contact. However, longitudinal interventions should be conducted to

determine whether indeed, the factors are modifiable or not in one’s gait pattern.

Conclusion:

Trained runners able to run 10-km in < 45 minutes (3.7 ms-1) when running at 3.3 ms-
1
are most economical when running with shorter ground contact times and increased stride

frequency. More economical runners also exhibit lower ankle but greater knee stiffness. This

is associated with greater muscle pre-activation prior to ground contact and greater bi-articular

muscle activation (rectus femoris and medial gastrocnemius) during ground contact. Lastly,

balanced or equal lateral gastrocnemius – tibialis anterior muscle activation during ground

contact was also found to be more economical. The findings from this study show that the

most economical runners exhibit refined neuromuscular control prior to and during ground

contact that facilitate optimal spatiotemporal running biomechanics such as shorter ground
“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.

contact times and higher stride frequencies when running at 3.33 ms-1. Further studies should

determine whether these factors are indeed modifiable to improve running performance.
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“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.

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“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.
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Figure 1: Correlations between oxygen cost of transport (running economy) and (A) ground
contact time; (B) stride frequency; (C) stride duration; (D) swing time; € stride length in trained
runners, running at 3.3 m s-1. Dotted lines represent 95% confidence intervals.
“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.
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Figure 2: Correlations between oxygen cost of transport (running economy) at 3.3 m s -1 and
(A) ankle and (B) knee joint stiffness and (C) lateral gastrocnemius – tibialis anterior (LG:TA)
co-activation during ground contact. Dotted lines represent 95% confidence intervals.
“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.

Table 1: Characteristics of the trained runners.

Group
n 30
age (years) 25.76 ± 4.99
body mass (kg) 66.00 ± 13.33
height (m) 175.19 ± 7.52
Running economy (mlkg-1km-1) 206.03 ± 19.02
10-km time (min) 36.03 ± 7.46
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Table 2: The relationship between muscle activity during pre-activation or ground contact (%
max sprint) and oxygen cost of transport (ml.kg-1∙km-1).

oxygen cost of transport


pre-activation ground contact
Medial gastrocnemius -0.661** -0.563**
Lateral gastrocnemius -0.535** -0.061
Tibialis anterior 0.365 -0.102
Peroneus longus -0.518** -0.227
Biceps femoris -0.431* -0.208
Rectus femoris -0.373* -0.425*
Gluteus medius -0.442* -0.137

* - significant correlation (*p<0.05; ** p<0.01)


“Running Economy: Neuromuscular and Joint Stiffness Contributions in Trained Runners” by Tam N et al.
International Journal of Sports Physiology and Performance
© 2018 Human Kinetics, Inc.

Participant Flow Diagram

Assessed for eligibility (n=44)


Enrollment
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Excluded (n= 10)


 Not meeting inclusion criteria (n=9)
 Declined to participate (n=1)
 Other reasons (n=0)

Did not complete testing (n=2)


Testing  Did not arrive (n=2)

Analysis  Excluded from analysis due incomplete


data (n=2)

Analysed and reported (n=30)

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