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

• Grant number: 17/15449-4
• Support Opportunities: Scholarships in Brazil - Post-Doctoral
• Start date: August 01, 2017
• End date: July 31, 2021
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Principal Investigator: Isabel de Camargo Neves Sacco
• Grantee: Eneida Yuri Suda
• Host Institution: Faculdade de Medicina (FM). Universidade de São Paulo (USP). São Paulo , SP, Brazil
• Associated research grant: 15/14810-0 - Biomechanical and functional aspects of the musculoskeletal system of runners: chronic effects of therapeutic exercise and aging, AP.TEM

Abstract

Background: 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.

Scientific publications

(12)

(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)

VERISSIMO, JADY LUARA; SACCO, ISABEL C. N.; MORGANI DE ALMEIDA, MARIA HELENA; SARTOR, CRISTINA DALLEMOLE; SUDA, ENEIDA YURI. Development of a customized booklet of foot-ankle exercises for people with diabetes mellitus as a management and prevention tool for musculoskeletal complications A customized booklet of foot-ankle exercises for people with diabetes. BRAZILIAN JOURNAL OF PHYSICAL THERAPY, v. 26, n. 3, p. 14-pg., 2022-05-01. (17/15449-4)

CRUVINEL-JUNIOR, RONALDO H. H.; FERREIRA, JANE S. S. P.; VERISSIMO, JADY L.; MONTEIRO, RENAN L. L.; SUDA, ENEIDA Y. Y.; SILVA, ERICA Q.; SACCO, ISABEL C. N.. Could an Internet-Based Foot-Ankle Therapeutic Exercise Program Modify Clinical Outcomes and Gait Biomechanics in People with Diabetic Neuropathy? A Clinical Proof-of-Concept Study. SENSORS, v. 22, n. 24, p. 17-pg., 2022-12-01. (19/02522-0, 21/00807-8, 17/17848-3, 17/15449-4)

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)

CRUVINEL JUNIOR, RONALDO H.; FERREIRA, JANE S. S. P.; BETELI, I, RAQUEL; SILVA, ERICA Q.; VERISSIMO, JADY L.; MONTEIRO, RENAN L.; SUDA, ENEIDA Y.; SACCO, ISABEL C. N.. Foot-ankle functional outcomes of using the Diabetic Foot Guidance System (SOPeD) for people with diabetic neuropathy: a feasibility study for the single-blind randomized controlled FOotCAre (FOCA) trial I. PILOT AND FEASIBILITY STUDIES, v. 7, n. 1, MAR 26 2021. (17/15449-4, 19/06405-9, 19/02522-0, 17/17848-3)

SILVA, ERICA Q.; SANTOS, DANILO P.; BETELI, RAQUEL I.; MONTEIRO, RENAN L.; FERREIRA, JANE S. S. P.; CRUVINEL-JUNIOR, RONALDO H.; DONINI, ASHA; VERISSIMO, JADY L.; SUDA, ENEIDA Y.; SACCO, ISABEL C. N.. Feasibility of a home-based foot-ankle exercise programme for musculoskeletal dysfunctions in people with diabetes: randomised controlled FOotCAre (FOCA) Trial II. SCIENTIFIC REPORTS, v. 11, n. 1, JUN 11 2021. (19/02624-8, 17/15449-4, 19/02522-0, 17/17848-3, 19/06405-9)

SUDA, ENEIDA YURI; HIRATA, ROGERIO PESSOTO; PALSSON, THORVALDUR; VUILLERME, NICOLAS; SACCO, ISABEL C. N.; GRAVEN-NIELSEN, THOMAS. Experimental knee-related pain enhances attentional interference on postural control. EUROPEAN JOURNAL OF APPLIED PHYSIOLOGY, v. 119, n. 9, p. 2053-2064, SEP 2019. (15/00214-6, 17/15449-4)

FERREIRA, J. S. S. P.; CRUVINEL JUNIOR, R. H.; SILVA, E. Q.; VERISSIMO, J. L.; MONTEIRO, R. L.; PEREIRA, D. S.; SUDA, E. Y.; SARTOR, C. D.; SACCO, I. C. N.. Study protocol for a randomized controlled trial on the effect of the Diabetic Foot Guidance System (SOPeD) for the prevention and treatment of foot musculoskeletal dysfunctions in people with diabetic neuropathy: the FOotCAre (FOCA) trial I. Trials, v. 21, n. 1, JAN 13 2020. (19/02624-8, 17/17848-3, 17/15449-4, 19/02522-0)

SILVA, E. Q.; SUDA, E. Y.; SANTOS, D. P.; VERISSIMO, J. L.; FERREIRA, J. S. S. P.; CRUVINEL JUNIOR, R. H.; MONTEIRO, R. L.; SARTOR, C. D.; SACCO, I. C. N.. Effect of an educational booklet for prevention and treatment of foot musculoskeletal dysfunctions in people with diabetic neuropathy: the FOotCAre (FOCA) trial II, a study protocol of a randomized controlled trial. Trials, v. 21, n. 1, FEB 13 2020. (19/02624-8, 19/06405-9, 17/15449-4, 17/17848-3, 19/02522-0)

SUDA, ENEIDA YURI; MATIAS, ALESSANDRA BENTO; BUS, SICCO A.; SACCO, ISABEL C. N.. Impact of diabetic neuropathy severity on foot clearance complexity and variability during walking. GAIT & POSTURE, v. 74, p. 194-199, OCT 2019. (17/15449-4, 16/17077-4)

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)

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)

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)