Effects of the playing surface on plantar pressures and potential injuries in tennis
TL;DR: This study demonstrates that playing surface affects plantar loading in tennis: Greenset induced higher loading in the hallux, but lower relative load on the medial (SV: −27.3%, p<0.01) than clay.
Abstract: Objectives: To examine the influence of different playing surfaces on in-shoe loading patterns during tennis-specific movements. Methods: Ten experienced male players performed two types of tennis-specific displacements (serve and volley (SV) and baseline play (BA)) on two different playing surfaces; eg, clay vs Greenset. Maximum and mean force and pressure, contact time, contact area and relative load were recorded by an insole with 99 sensors (X-Pedar system) divided into 9 areas. Results: Regarding the whole foot, mean (SD) force (SV: 615 (91) vs 724 (151) N; −12.4%, p Conclusions: This study demonstrates that playing surface affects plantar loading in tennis: Greenset induced higher loading in the hallux (SV: +15.3%, p
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TL;DR: Clinification of effects of artificial surfaces on muscle and knee injuries are required given inconsistencies in incidence rate ratios depending on the football code, athlete, gender or match versus training.
Abstract: Football codes (rugby union, soccer, American football) train and play matches on natural and artificial turfs. A review of injuries on different turfs was needed to inform practitioners and sporting bodies on turf-related injury mechanisms and risk factors. Therefore, the aim of this review was to compare the incidence, nature and mechanisms of injuries sustained on newer generation artificial turfs and natural turfs. Electronic databases were searched using the keywords 'artificial turf', 'natural turf', 'grass' and 'inj*'. Delimitation of 120 articles sourced to those addressing injuries in football codes and those using third and fourth generation artificial turfs or natural turfs resulted in 11 experimental papers. These 11 papers provided 20 cohorts that could be assessed using magnitude-based inferences for injury incidence rate ratio calculations pertaining to differences between surfaces. Analysis showed that 16 of the 20 cohorts showed trivial effects for overall incidence rate ratios between surfaces. There was increased risk of ankle injury playing on artificial turf in eight cohorts, with incidence rate ratios from 0.7 to 5.2. Evidence concerning risk of knee injuries on the two surfaces was inconsistent, with incidence rate ratios from 0.4 to 2.8. Two cohorts showed beneficial inferences over the 90% likelihood value for effects of artificial surface on muscle injuries for soccer players; however, there were also two harmful, four unclear and five trivial inferences across the three football codes. Inferences relating to injury severity were inconsistent, with the exception that artificial turf was very likely to have harmful effects for minor injuries in rugby union training and severe injuries in young female soccer players. No clear differences between surfaces were evident in relation to training versus match injuries. Potential mechanisms for differing injury patterns on artificial turf compared with natural turf include increased peak torque and rotational stiffness properties of shoe-surface interfaces, decreased impact attenuation properties of surfaces, differing foot loading patterns and detrimental physiological responses. Changing between surfaces may be a precursor for injury in soccer. In conclusion, studies have provided strong evidence for comparable rates of injury between new generation artificial turfs and natural turfs. An exception is the likely increased risk of ankle injury on third and fourth generation artificial turfs. Therefore, ankle injury prevention strategies must be a priority for athletes who play on artificial turf regularly. Clarification of effects of artificial surfaces on muscle and knee injuries are required given inconsistencies in incidence rate ratios depending on the football code, athlete, gender or match versus training.
93 citations
TL;DR: A significant difference between training shoes and racing flats in terms of peak pressure, maximum force, and contact area can be of importance when examining the influence of shoe type on the occurrence of stress fractures in runners.
74 citations
Cites background from "Effects of the playing surface on p..."
...Previous literature has indicated that testing surface can significantly alter plantar loading [22,34,38– 43,56–58]....
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TL;DR: Treadmill running is associated with a lower magnitude ofmaximum plantar pressure and a lower maximum plantar force at the plantar areas, and the results suggest thatThe plantar load distribution in treadmill running is not the same as the Plantar load Distribution in running on overground surfaces.
70 citations
TL;DR: Hit & Turn maximum test performance can be recommended as a valid and reliable indicator for tennis-specific endurance.
Abstract: This study was conducted to validate and evaluate the “Hit & Turn Tennis Test”, an acoustically progressive on-court endurance test for tennis players. Ninety-eight competitive tennis players (53 males, 45 females) of different age groups participated in the study. For validation, the adult male players completed three Hit & Turn tests, one on a clay court and two on a carpet surface, a tennis-specific ball machine test and an incremental treadmill run in a randomized order. A stronger correlation between maximal performance (r = 0.81, P < 0.01) and maximal oxygen uptake (r = 0.96, P < 0.01) was observed between the Hit & Turn test and the ball machine test, than between the Hit & Turn test and the treadmill test. For test–retest, we found a significant correlation between maximal performance on the same (r = 0.83, P < 0.01) and on different surfaces (r = 0.74, P < 0.01). During test evaluation, maximal performance was higher in males than in females (P < 0.01) and increased by consecutive age gr...
67 citations
TL;DR: The aim of the study was to examine how the training surface affects the characteristics of a tennis training session, and found significant differences in all the physiological measurements, which significantly increased with hitting velocity.
Abstract: The aim of the study was to examine how the training surface (i.e., clay or carpet) affects the characteristics (i.e., ball velocity, running pressure, running volume, and physiological responses) of a tennis training session. Ten competitive healthy and nationally ranked male tennis players (mean ± SD: age 24.2 ± 1.7 years, weight 81.4 ± 7.6 kg, height 1.88 ± 0.05 m, body mass index 23.1 ± 1.8) participated in a maximal treadmill test and a field test (e.g., an on-court tennis training session, which consisted of 4 exercises). Subjects' oxygen uptake (VO2) and heart rate (HR) were recorded by portable analyzers, and the ball velocity was measured using a radar gun during the training sessions. We did not find any significant influence of the court surface on any of the variables analyzed under the standardized exercise conditions of the study, as suggested in previous studies conducted under match-play conditions. Moreover, data showed significant differences between maximal forehand and backhand stroke velocities, the forehand stroke being significantly faster (p = 0.01) and more energy demanding on both playing surfaces (clay: 122.0 ± 9.1 vs. 111.1 ± 7.5; carpet: 120.4 ± 6.0 vs 111.5 ± 7.0 km·h). Comparing the same stroke on the same court surface, but at different stroke velocities, we found significant differences (p < 0.05) in all the physiological measurements (e.g., HR, %HRmax; VO2; %VO2), which significantly increased with hitting velocity.
61 citations
Cites background from "Effects of the playing surface on p..."
..., higher muscle activation during sliding movements) (18,19)....
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TL;DR: A simulation of a clinical trial of the treatment of coronary artery disease by allocating 1073 patient records from past cases into two “treatment” groups at random failed to show any significant difference in survival between those patients allocated to the two treatments.
Abstract: Many published papers include large numbers of significance tests. These may be difficult to interpret because if we go on testing long enough we will inevitably find something which is “significant.” We must beware of attaching too much importance to a lone significant result among a mass of non-significant ones. It may be the one in 20 which we expect by chance alone.
Lee et al simulated a clinical trial of the treatment of coronary artery disease by allocating 1073 patient records from past cases into two “treatment” groups at random.1 They then analysed the outcome as if it were a genuine trial of two treatments. The analysis was quite detailed and thorough. As we would expect, it failed to show any significant difference in survival between those patients allocated to the two treatments. Patients were then subdivided by two variables which affect prognosis, the number of diseased coronary vessels and whether the left ventricular contraction pattern was normal or abnormal. A significant difference in survival between the two “treatment” groups was found in those patients with three diseased vessels (the maximum) and abnormal ventricular contraction. As this would be the subset of patients with the worst prognosis, the finding would be easy to account for by saying that the superior “treatment” …
3,450 citations
TL;DR: A new paradigm for impact forces during running proposes that impact forces are input signals that produce muscle tuning shortly before the next contact with the ground to minimize soft tissue vibration and/or reduce joint and tendon loading.
Abstract: Objective: This article discusses the possible association between impact forces and foot pronation and the development of running-related injuries, and proposes a new paradigm for impact forces and foot pronation. Data Sources: The article is based on a critical analysis of the literature on heel–toe running addressing kinematics, kinetics, resultant joint movements and forces, muscle activity, subject and material characteristics, epidemiology, and biologic reactions. However, this paper is not a review of the literature but rather an attempt to replace the established concepts of impact forces and movement control with a new paradigm that would allow explaining some of the current contradictions in this topic of research. Study Selection: The analysis included all papers published on this topic over the last 25 years. For the last few years, it concentrated on papers expressing critical concerns on the established concepts of impact and movement control. Data Extraction: An attempt was made to find indications in the various publications to support or reject the current concept of impact forces and movement control. Furthermore, the results of the available studies were searched for indications expanding the current understanding of impact forces and movement control in running. Data Synthesis: Data were synthesized revealing contradictions in the experimental results and the established concepts. Based on the contradictions in the existing research publications, a new paradigm was proposed. Conclusion: Theoretical, experimental, and epidemiological evidence on impact forces showed that one cannot conclude that impact forces are important factors in the development of chronic and/or acute running-related injuries. A new paradigm for impact forces during running proposes that impact forces are input signals that produce muscle tuning shortly before the next contact with the ground to minimize soft tissue vibration and/or reduce joint and tendon loading. Muscle tuning might affect fatigue, comfort, work, and performance. Experimental evidence suggests that the concept of “aligning the skeleton” with shoes, inserts, and orthotics should be reconsidered. They produce only small, not systematic, and subject-specific changes of foot and leg movement. A new paradigm for movement control for the lower extremities proposes that forces acting on the foot during the stance phase act as an input signal producing a muscle reaction. The cost function used in this adaptation process is to maintain a preferred joint movement path for a given movement task. If an intervention counteracts the preferred movement path, muscle activity must be increased. An optimal shoe, insert, or orthotic reduces muscle activity. Thus, shoes, inserts, and orthotics affect general muscle activity and, therefore, fatigue, comfort, work, and performance. The two proposed paradigms suggest that the locomotor system use a similar strategy for “impact” and “movement control.” In both cases the locomotor system keeps the general kinematic and kinetic situations similar for a given task. The proposed muscle tuning reaction to impact loading affects the muscle activation before ground contact. The proposed muscle adaptation to provide a constant joint movement pattern affects the muscle activation during ground contact. However, further experimental and theoretical studies are needed to support or reject the proposed paradigms.
435 citations
TL;DR: A given patient with plantar fasciitis has a very good chance of complete resolution of symptoms and a higher risk for continued symptoms in overweight patients, patients with bilateral symptoms, and those who have symptoms for a prolonged period before seeking medical attention.
Abstract: In order to evaluate the long-term results of patients treated conservatively for plantar heel pain, a telephone follow-up survey was conducted. After eliminating those patients with worker's compensation-related complaints and those with documented inflammatory arthritides, data on 100 patients (58 females and 42 males) were available for review. The average patients was 48 years old (range 20-85 years). The average follow-up was 47 months (24-132 months). Clinical results were classified as good (resolution of symptoms) for 82 patients, fair (continued symptoms but no limitation of activity or work) for 15 patients, and poor (continued symptoms limiting activity or changing work status) in 3 patients. The average duration of symptoms before medical attention was sought was 6.1, 18.9, and 10 months for the three groups, respectively. The three patients with poor results all had bilateral complaints, but had no other obvious risk factors predictive of their poor result. Thirty-one patients stated that, even with the understanding that surgical treatment carries significant risk, they would have seriously considered it at the time medical attention was sought; twenty-two of these patients eventually had resolution of symptoms. Although the treatment of heel pain can be frustrating due to its indolent course, a given patient with plantar fasciitis has a very good chance of complete resolution of symptoms. There is a higher risk for continued symptoms in over-weight patients, patients with bilateral symptoms, and those who have symptoms for a prolonged period before seeking medical attention.
364 citations
TL;DR: This review focuses on the characteristics of tennis players during match play and provides a greater insight into the energy demands of tennis and has important implications for the training of Tennis players, which should resemble match intensity and include interval training with appropriate work to rest ratios.
Abstract: This review focuses on the characteristics of tennis players during match play and provides a greater insight into the energy demands of tennis. A tennis match often lasts longer than an hour and in some cases more than five hours. During a match there is a combination of periods of maximal or near maximal work and longer periods of moderate and low intensity activity. Match intensity varies considerably depending on the players' level, style, and sex. It is also influenced by factors such as court surface and ball type. This has important implications for the training of tennis players, which should resemble match intensity and include interval training with appropriate work to rest ratios.
335 citations
TL;DR: Racket sports have provided a vehicle for investigating fast interceptive actions, hand-eye coordination and perception-action coupling in the field of motor control, and have contributed to science by providing unique challenges to researchers.
Abstract: The major racket sports include badminton, squash, table tennis and tennis. The growth of sports science and the commercialization of racket sports in recent years have focused attention on improved performance and this has led to a more detailed study and understanding of all aspects of racket sports. The aim here, therefore, is to review recent developments of the application of science to racket sports. The scientific disciplines of sports physiology and nutrition, notational analysis, sports biomechanics, sports medicine, sports engineering, sports psychology and motor skills are briefly considered in turn. It is evident from these reviews that a great deal of scientific endeavour has been applied to racket sports, but this is variable across both the racket sports and the scientific disciplines. A scientific approach has helped to: implement training programmes to improve players’ fitness; guide players in nutritional and psychological preparation for play; inform players of the strategy and...
313 citations