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Advancing Biomechanics: Enhancing Sports Performance, Mitigating Injury Risks, and Optimizing Athlete Rehabilitation

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Editorial04 February 2025
Editorial: Advancing biomechanics: enhancing sports performance, mitigating injury risks, and optimizing athlete rehabilitation

The field of biomechanics has undergone a transformative evolution, driven by rapid advancements in 12 both hardware and software technologies. These innovations have not only enhanced our understanding 13 of human movement but have also bridged the gap between research and practical applications in sports 14 medicine, performance optimization, and injury rehabilitation. This special issue, titled Advancing 15Biomechanics: Enhancing Sports Performance, Mitigating Injury Risks, and Optimizing Athlete 16Rehabilitation, aims to showcase the latest research and technological developments that are shaping 17 the future of biomechanics in sports. The contributing articles in this special issue highlight the diverse 18 applications of biomechanics, ranging from the analysis of sports techniques to the development of 19 novel rehabilitation strategies. Each study underscores the importance of evidence-based approaches 20 in addressing the complex challenges faced by athletes and sports practitioners. In this editorial, we 21 will summarize the key findings of these studies, discuss their implications, and place them within the 22 broader context of biomechanics research. 23

One of the primary goals of biomechanics is to optimize athletic performance by analyzing and refining 25 movement patterns. The study by Uncovering the hidden mechanics of upper body rotations in tennis 26 serves using wearable sensors on Dutch professional players provides a compelling example of how 27 biomechanical analysis can enhance performance in elite athletes. By using inertial measurement units 28 (IMUs), the researchers were able to capture detailed kinematic data during tennis serves. Their 29 findings revealed that while the kinetic chain principle is generally followed, professional players often 30 deviate from the proximal-to-distal sequence, particularly in second serves. In addition, the systematic review Effects of conservative treatment strategies for iliotibial band 68 syndrome on pain and function in runners evaluates the efficacy of various conservative treatments for 69 iliotibial-band-syndrome. The review highlights the effectiveness of hip abductor strengthening 70 exercises, particularly when combined with shockwave or manual therapy, in reducing pain and 71 improving function in runners. This study emphasizes the importance of evidence-based rehabilitation 72 strategies in managing common running injuries and facilitating a safe return to sport. 73

The integration of advanced technologies into biomechanics research has opened new avenues for 75 understanding human movement and developing innovative solutions for sports performance and 76 injury management. The study Biological reliability of a movement analysis assessment using a 77 markerless motion capture system demonstrates the reliability of markerless motion capture (MMC) 78 systems in assessing human movement. The researchers found that MMC systems exhibit good to 79 excellent reliability for capturing kinematic variables, with biological variability being the primary 80 source of error. These findings support the use of MMC systems as a valid and practical tool for 81 movement analysis in both research and clinical settings. 82 Another notable contribution is the pilot study A comparison of individual force decline profiles during 83 a fatiguing eccentric trunk flexion and extension protocol, which explores the variability in force 84 profiles during fatiguing tasks. The study reveals significant inter-individual differences in fatigue 85 characteristics, which may be influenced by physiological, technical, and motivational factors. These 86 findings have important implications for understanding spinal stability and developing personalized 87 training programs to reduce the risk of injury during fatiguing activities. 88

The studies featured in this special issue collectively highlight the transformative impact of 90 biomechanics on sports performance, injury prevention, and athlete rehabilitation. By leveraging 91 cutting-edge technologies and evidence-based approaches, researchers and practitioners can address 92 the complex challenges faced by athletes and optimize their performance and well-being. However, 93 several areas warrant further investigation. For example, the integration of machine learning and 94 artificial intelligence into biomechanical analysis holds promise for enhancing the accuracy and 95 efficiency of movement assessments. Additionally, longitudinal studies are needed to evaluate the 96 long-term effects of biomechanical interventions on injury prevention and rehabilitation outcomes. 97 98

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Introduction: This systematic review summarizes the efficacy of conservative treatment strategies on pain and function in runners with iliotibial band syndrome (ITBS), a prevalent running injury constituting about 10% of all running-related injuries. The multifactorial nature of ITBS necessitates diverse treatment approaches; yet, a consensus on an optimal conservative regimen remains unreported. This review seeks to update and expand upon existing literature with recent rehabilitative approaches. Methods: A systematic search was conducted in Medline, Web of Science, and CINHAL databases, from inception to October 2022June 31, 2024. Inclusion criteria were: 1) reporting of conservative treatments for ITBS in adult runners and 2) pain and function defined as main outcome parameters. The methodological quality was evaluated using the NIH Quality Assessment Tool. Results: Thirteen out of 565 616 records met the inclusion criteria (201 participants), including five randomized controlled trials, one case-control study, one pre-test posttest study, and six case studies. Different active and passive treatment strategies were applied as single (five studies) or combined (eight studies) treatments. The average methodological quality was deemed good. Large between-study heterogeneity was present, impeding a meta-analysis to be performed. Hip abductor strengthening (HAS) exercise emerged as a common strategy. The intervention effects on pain reduction ranged from 27% to 100%, and functional improvement from 10% to 57%, over 2 to 8 weeks. Conclusion: A conservative treatment approach incorporating HAS exercises, possibly augmented by shockwave or manual therapy, appears is effective for mitigating pain and enhancing function in ITBS-afflicted runners. Finally, the potential of emerging strategies like gait retraining requires further exploration through rigorous trials and comprehensive evidence. Addressing these gaps could refine ITBS management, enhancing treatment outcomes and facilitating runners' return to sport.

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ORIGINAL RESEARCH
25 July 2024
Reliability and validity of sprint performance using the Alex7 motorized device
Austra Skujytė, 5 more and Sigitas Kamandulis

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11 citations

Validation of an instrumented mouthguard in rugby union—a pilot study comparing impact sensor technology to video analysis
Background: To better understand the biomechanical profile of direct head impacts and the game scenarios in which they occur in Rugby Union, there is a need for an on-field validation of a new instrumented mouthguard (IMG) against the reference standard. This study considers the potential of a combined biomechanical (IMG) and video analysis approach to direct head impact recognition, both of which in isolation have limitations. The aim of this study is to assess the relationship between an instrumented mouthguard and video analysis in detection of direct head impacts in rugby union.Methods: The instrumented mouthguard was worn by ten (3 backs, 7 forwards) professional Rugby Union players during the 2020-21 Gallagher Premiership (UK) season. Game-day video was synchronized with timestamped head acceleration events captured from the instrumented mouthguard. Direct Head Impacts were recorded in a 2 x 2 contingency table to determine sensitivity. Impact characteristics were also collected for all verified head impacts to further the understanding of head biomechanics during the game.Results: There were 2018 contact events that were reviewed using video analysis. Of those 655 were categorized as direct head impacts which also correlated with a head acceleration event captured by the IMG. Sensitivity analysis showed an overall sensitivity of 93.6% and a positive predictive value (PPV of 92.4%). When false positives were excluded due to ball out of play, mouthguard removal or handling after a scoring situation or stoppage, PPV was improved (98.3%). Most verified head impacts occurred in and around the ruck contest (31.2%) followed by impacts to the primary tackler (28.4%).Conclusion: This pilot validation study demonstrates that this IMG provides a highly accurate measurement device that could be used to complement video verification in the recognition of on-field direct head impacts. The frequency and magnitude of direct head impacts derived from specific game scenarios has been described and allows for greater recognition of highrisk situations. Further studies with larger sample sizes and in different populations of Rugby Union players are required to develop our understanding of head impact and enable strategies for injury mitigation.

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