Biomechanical and functional aspects of the musculoskeletal system of runners: chronic effects of therapeutic exercise and aging

• Grant number: 15/14810-0
• Support Opportunities: Research Projects - Thematic Grants
• Duration: December 01, 2016 - February 28, 2022
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Principal Investigator: Isabel de Camargo Neves Sacco
• Grantee: Isabel de Camargo Neves Sacco
• Host Institution: Faculdade de Medicina (FM). Universidade de São Paulo (USP). São Paulo , SP, Brazil
• Pesquisadores principais: Marcos Duarte
• Associated researchers: Claudia Giacomozzi ; Cristina Dallemole Sartor ; Reginaldo Kisho Fukuchi ; Sicco Anthony Bus
• Associated grant(s): 17/23462-0 - Biomechanics and functional aspects of the musculoskeletal system of runners and of neuropathic diabetics: chronic effect of therapeutic exercises: methodological implementation and scientific cooperation, AV.EXT
• Associated scholarship(s): 20/02496-7 - Experimental study, modeling and simulation of musculoskeletal dynamics during walking and running, BP.TT; 20/03281-4 - Experimental study, modeling and simulation of musculoskeletal dynamics during walking and running, BP.TT; 19/19291-1 - Biomechanical and functional aspects of the musculoskeletal system of runners: chronic effects of therapeutic exercise and aging, BP.PD; + associated scholarships 19/15744-1 - Cluster analysis of foot ankle kinematics in recreational runners: an artificial intelligence approach, BP.IC; 18/13089-3 - Biomechanical and functional aspects of the musculoskeletal system of runners: chronic effects of therapeutic exercise and aging, BP.TT; 18/09233-1 - Activity plans for technical training grant TT-3 of the project experimental study, modeling and simulation of the musculoskeletal dynamics, BP.TT; 17/15449-4 - Biomechanical and functional aspects of the musculoskeletal system of runners: chronic effects of therapeutic exercise and aging, BP.PD; 16/17077-4 - Effects of a foot and ankle complex strengthening program on the occurrence of injuries and biomechanics in long distance runners: a controlled, randomized clinical trial, BP.DD - associated scholarships

Abstract

The performance, particularly in one of the most popular sports activities such as running, is typically influenced by the state of the musculoskeletal system, either by the level of training and conditioning of the biological structures, or by the aging process. Any changes in the biomechanics of the musculoskeletal system, especially in the feet and ankles, and in the coordination of movement, will strongly influence the behavior of the runner, regardless of age, predisposing him or her to injuries and may substantially compromise his or her quality of life. Understanding the effects of a therapeutic approach focused on the feet and of aging on the biomechanics of walking and running, on the coordination, strength and functionality of the lower limb muscles will contribute to the adoption of more effective therapeutic and preventive strategies for the population of adults and elderly runners. Objectives: The main objective of this project is to understand the effects (1) of a "ground-up" therapeutic approach and (2) of aging on the biomechanics of walking and running, on the coordination of the lower limbs, on the strength and functionality of the muscles of the lower limbs and on the prevention of running-related injuries. In particular, we will (1) investigate the effects of a protocol of therapeutic exercises for the feet on the prevalence of running-related injuries in the lower limbs of long distance runners and (2) investigate how the coordination of movement is affected by aging and running practice. Methods: In the first set of experiments, we will conduct a randomized controlled prospective trial in which a group of the subjects will participate in a protocol of therapeutic exercises for the ankle / foot complexes. All subjects will be assessed at different times regarding the functionality of the feet, muscle tropism, ankle and foot strength, and the biomechanics of their walking and running. In a second set of experiments, we will model and computationally simulate the experimentally-measured movements of walking and running of young and elderly adults (both sedentary and runners) in order to determine the joint torques and muscle strength in the lower limbs and their coordination patterns. Expected results: We intend to show that the proposed therapeutic protocol is an innovative and effective approach in decreasing the incidence of injuries in runners and show for the first time what the effects of aging and running practice are on the movement coordination of elderly people. (AU)

Scientific publications

(23)

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

MATIAS, ALESSANDRA B.; CARAVAGGI, PAOLO; LEARDINI, ALBERTO; TADDEI, ULISSES T.; ORTOLANI, MAURIZIO; SACCO, ISABEL. Repeatability of skin-markers based kinematic measures from a multi-segment foot model in walking and running. JOURNAL OF BIOMECHANICS, v. 110, p. 6-pg., 2020-09-18. (17/23975-8, 16/17077-4, 17/26844-1, 15/14810-0)

TADDEI, ULISSES T.; MATIAS, ALESSANDRA B.; RIBEIRO, FERNANDA I. A.; INOUE, RAFAEL S.; BUS, SICCO A.; SACCO, ISABEL C. N.. Effects of a therapeutic foot exercise program on injury incidence, foot functionality and biomechanics in long-distance runners: Feasibility study for a randomized controlled trial. PHYSICAL THERAPY IN SPORT, v. 34, p. 216-226, NOV 2018. (14/27311-9, 15/14810-0)

MATIAS, ALESSANDRA B.; TADDEI, ULISSES T.; DUARTE, MARCOS; SACCO, ISABEL C. N.. Protocol for evaluating the effects of a therapeutic foot exercise program on injury incidence, foot functionality and biomechanics in long-distance runners: a randomized controlled trial. BMC MUSCULOSKELETAL DISORDERS, v. 17, APR 14 2016. (15/14810-0, 14/27311-9)

MATIAS, ALESSANDRA B.; CARAVAGGI, PAOLO; TADDEI, ULISSES T.; LEARDINI, ALBERTO; SACCO, ISABEL C. N.. Rearfoot, Midfoot, and Forefoot Motion in Naturally Forefoot and Rearfoot Strike Runners during Treadmill Running. APPLIED SCIENCES-BASEL, v. 10, n. 21, NOV 2020. (17/26844-1, 16/17077-4, 17/23975-8, 15/14810-0)

FUKUCHI, CLAUDIANE A.; DUARTE, MARCOS. Gait Profile Score in able-bodied and post-stroke individuals adjusted for the effect of gait speed. GAIT & POSTURE, v. 69, p. 40-45, MAR 2019. (14/13502-7, 15/14810-0)

FUKUCHI, CLAUDIANE ARAKAKI; FUKUCHI, REGINALDO KISHO; DUARTE, MARCOS. Effects of walking speed on gait biomechanics in healthy participants: a systematic review and meta-analysis. SYSTEMATIC REVIEWS, v. 8, JUN 27 2019. (19/06604-1, 15/14810-0, 14/13502-7)

MIRALDO, DESIREE CAMARA; WATANABE, RENATO NAVILLE; DUARTE, MARCOS. An Open Data Set of Inertial, Magnetic, Foot-Ground Contact, and Electromyographic Signals From Wearable Sensors During Walking. MOTOR CONTROL, v. 24, n. 4, p. 13-pg., 2020-10-01. (15/14810-0)

SUDA, ENEIDA YURI; WATARI, RICKY; MATIAS, ALESSANDRA BENTO; SACCO, ISABEL C. N.. Recognition of Foot-Ankle Movement Patterns in Long-Distance Runners With Different Experience Levels Using Support Vector Machines. FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY, v. 8, JUN 11 2020. (17/15449-4, 15/14810-0, 19/19291-1, 16/17077-4)

FERREIRA, JANE S. S. P.; SACCO, ISABEL C. N.; SIQUEIRA, ALISSON A.; ALMEIDA, MARIA H. M.; SARTOR, CRISTINA D.. Rehabilitation technology for self-care: Customised foot and ankle exercise software for people with diabetes. PLoS One, v. 14, n. 6, JUN 20 2019. (15/14810-0)

COELHO, DANIEL BOARI; BAZAN, PAULO RODRIGO; ZIMEO MORAIS, GUILHERME AUGUSTO; BALARDIN, JOANA BISOL; BATISTA, ALANA XAVIER; NEVES DE OLIVEIRA, CLAUDIA EUNICE; LOS ANGELES, EMANUELE; BERNARDO, CLAUDIONOR; SATO, JOAO RICARDO; DE LIMA-PARDINI, ANDREA C.. Frontal Hemodynamic Response During Step Initiation Under Cognitive Conflict in Older and Young Healthy People. JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, v. 76, n. 2, p. 216-223, FEB 2021. (15/14810-0, 19/06604-1, 14/13502-7)

AVILA DE OLIVEIRA, JULIA; BAZAN, PAULO RODRIGO; DE OLIVEIRA, CLAUDIA EUNICE NEVES; TREZA, RENATA DE CASTRO; HONDO, SANDY MIKIE; LOS ANGELES, EMANUELE; BERNARDO, CLAUDIONOR; DE OLIVEIRA, LUANA DOS SANTOS; CARVALHO, MARGARETE DE JESUS; DE LIMA-PARDINI, ANDREA C.; et al. The effects of levodopa in the spatiotemporal gait parameters are mediated by self-selected gait speed in Parkinson's disease. European Journal of Neuroscience, v. 54, n. 11, NOV 2021. (19/06604-1, 15/14810-0)

SHIDA, THIAGO KENZO FUJIOKA; COSTA, THAISY MORAES; DE OLIVEIRA, CLAUDIA EUNICE NEVES; TREZA, RENATA DE CASTRO; HONDO, SANDY MIKIE; LOS ANGELES, EMANUELE; BERNARDO, CLAUDIONOR; DE OLIVEIRA, LUANA DOS SANTOS; CARVALHO, MARGARETE DE JESUS; COELHO, DANIEL BOARI. A public data set of walking full-body kinematics and kinetics in individuals with Parkinson's disease. FRONTIERS IN NEUROSCIENCE, v. 17, p. 8-pg., 2023-02-16. (19/06604-1, 15/14810-0)

MATIAS, ALESSANDRA B.; WATARI, RICKY; TADDEI, ULISSES T.; CARAVAGGI, PAOLO; INOUE, RAFAEL S.; THIBES, RAISSA B.; SUDA, ENEIDA Y.; VIEIRA, MARCUS F.; SACCO, ISABEL C. N.. Effects of Foot-Core Training on Foot-Ankle Kinematics and Running Kinetics in Runners: Secondary Outcomes From a Randomized Controlled Trial. FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY, v. 10, p. 16-pg., 2022-04-14. (17/15449-4, 17/26844-1, 16/17077-4, 15/14810-0, 17/23975-8, 19/19291-1)

TADDEI, ULISSES T.; MATIAS, ALESSANDRA B.; RIBEIRO, FERNANDA I. A.; BUS, SICCO A.; SACCO, ISABEL C. N.. Effects of a foot strengthening program on foot muscle morphology and running mechanics: A proof-of-concept, single-blind randomized controlled trial. PHYSICAL THERAPY IN SPORT, v. 42, p. 107-115, MAR 2020. (14/27311-9, 15/14810-0)

WATARI, RICKY; SUDA, ENEIDA Y.; SANTOS, JOAO P. S.; MATIAS, ALESSANDRA B.; TADDEI, ULISSES T.; SACCO, ISABEL C. N.. Subgroups of Foot-Ankle Movement Patterns Can Influence the Responsiveness to a Foot-Core Exercise Program: A Hierarchical Cluster Analysis. FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY, v. 9, JUN 8 2021. (17/15449-4, 16/17077-4, 19/19291-1, 15/14810-0)

FUKUCHI, CLAUDIANE A.; FUKUCHI, REGINALDO K.; DUARTE, MARCOS. Test of two prediction methods for minimum and maximum values of gait kinematics and kinetics data over a range of speeds. GAIT & POSTURE, v. 73, p. 269-272, SEP 2019. (19/06604-1, 15/14810-0, 14/13502-7)

FUKUCHI, CLAUDIANE A.; DUARTE, MARCOS. A prediction method of speed-dependent walking patterns for healthy individuals. GAIT & POSTURE, v. 68, p. 280-284, FEB 2019. (15/14810-0, 14/13502-7)

DA SILVA, LUCAS SANTANA; FUKUCHI, REGINALDO KISHO; WATANABE, RENATO NAVILLE; FUKUCHI, CLAUDIANE ARAKAKI; DUARTE, MARCOS. Effects of age and speed on the ankle-foot system's power during walking. SCIENTIFIC REPORTS, v. 10, n. 1, SEP 10 2020. (15/14810-0, 19/06604-1)

E.Y. SUDA; M.F. VIEIRA; A.B. MATIAS; R.S. GOMIDE; I.C.N. SACCO. Running intralimb coordination patterns after a foot core exercise program in recreational runners. Brazilian Journal of Medical and Biological Research, v. 57, 2024-01-22. (15/14810-0, 17/26844-1, 17/15449-4, 16/17077-4)

TADDEI, ULISSES T.; MATIAS, ALESSANDRA B.; RIBEIRO, FERNANDA I. A.; DAVIS, IRENE S.; SACCO, ISABEL C. N.. The Effect of a Foot Exercise Protocol on Intrinsic Muscle Volume. MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, v. 51, n. 6, p. 2-pg., 2019-06-01. (15/14810-0)

FUKUCHI, CLAUDIANE A.; FUKUCHI, REGINALDO K.; DUARTE, MARCOS. A public dataset of overground and treadmill walking kinematics and kinetics in healthy individuals. PeerJ, v. 6, APR 24 2018. (15/14810-0, 14/13502-7)

DAVIS, IRENE S.; HOLLANDER, KARSTEN; LIEBERMAN, DANIEL E.; RIDGE, SARAH T.; SACCO, ISABEL C. N.; WEARING, SCOTT C.. Stepping Back to Minimal Footwear: Applications Across the Lifespan. EXERCISE AND SPORT SCIENCES REVIEWS, v. 49, n. 4, p. 228-243, OCT 2021. (15/14810-0)

HIRATA, ROGERIO PESSOTO; THOMSEN, MIKKEL JACOBI; LARSEN, FREDERIK GREVE; STOTTRUP, NICOLAI; DUARTE, MARCOS. The effects of pain and a secondary task on postural sway during standing. HUMAN MOVEMENT SCIENCE, v. 79, OCT 2021. (15/14810-0)