Low back tightness in runners. Spinal muscle fatigue.

Do you as a runner, or a helper of runners, ever experience low back tightness on a run, particularly a long run ? These muscles can fatigue just like any other muscle; we just generally do not think of them in this manner. Be sure to endurance/fatigue test your runner's lumbar erector muscles. Sure, we need a strong durable core, but in an endeavor like running, where there are constant acceleration/deceleration as well as impact loading forces over long distances, we need these muscles to be just as durable as any other.
And, do not forget that we have to control the constant anterior and posterior pelvis oscillations in the sagittal plane (APT and PPT) that correspond to the acceleration and deceleration phases of gait.

"Previous EMG studies of running have shown the lumbar extensor muscles to be active at foot contact and during early stance (Thorstensson, Carlson, Zomlefer, & Nilsson, 1982). This early activation of the back extensors will act to limit forward flexion of the trunk as energy is absorbed in the lower limbs and the CoM decelerates. During this deceleration phase, the thorax moves into forward flexion and there is a small corresponding posterior tilt of the pelvis as gluteus maximus acts to extend the hip."
S.J. Preece et al. / Human Movement Science 45 (2016) 110–118

When the going gets rough, we have a tendency to look down...

While working with a patient with runners dystonia the other day, I had one of those epiphanies. I thought I would share it with you here. Here is some food for thought. 

We remember that we have 3 systems that keep us upright in the gravitational plane: The visual system, the vestibular system and the proprioceptive system. As we age, we seem to become more dependent on the visual system, but that is a story we have told before here, and could certainly been expanded on in another post or three... 

tumblr_mvtqrj0cqk1qhko2so1_500.jpg

The long story today involves the vestibular system. It is a part of the nervous system that lives between your ears (literally) and monitors position, velocity and angular acceleration of the head. There are three hula hoop type structures called “semicircular canals” (see picture above) that monitor rotational, tilt position and angular acceleration, as well as two other structures, the utricle and saccule, which monitor tilt and linear acceleration. 

The vestibular apparatus (the canals and the utricle and saccule) feed into a part of the brain called the floccular nodular lobe of the cerebellum, which as we are sure you can imagine, have something to do with balance and coordination. This area of the cerebellum feeds back to the vestibular system (actually the vestibular nucleii, all 4 of them! superior, inferior, medial and lateral); which then feed back up to the brain (medial, inferior and superior nuclear pathway) as well as down the spinal cord (the lateral pathway) to predominantly fire the extensor muscles.

So, what do you think happens if we facilitate (or defaciltate) a neuronal pool? We alter outcomes and don’t see a clear picture. Most actions in the nervous system are a system of checks and balances, or positives and negatives, and the one the one that predominates, is the one that wins : )

Look at the picture above. Notice the lateral semicicular canals are 30 degrees to the horizontal? If you are standing up and extending your head , that lateral canal becomes vertical and the fluid inside (emdolymph) cannot flow, making it much less useful to the nervous system. Thats why it is hard to stand with your head extended and eyes closed and maintain balance (go ahead and try it, feeling is believing). Conversely, when we flex our head forward(like looking down to see what our footing looks like), we move this lateral canal onto a more physiologically advantageous position, enhancingour balance.  If you are on uneven ground, have an injury or are having issues with proprioception (like many folks do), this actually helps the vestibular system (as well as the proprioceptive and visual systems) to work more efficiently. 

OK, have that? Now one more concept..

So if we look down, we put a slow stretch into our neck extensor muscles, which just happen to have some great postural receptors in them, called muscle spindles, along with mechanoreceptors in the capsules of the joints. So, facilitating (ie. exciting) these receptors, fires more information into our cerebellum, the queen of balance in the nervous system. What do you think happens? Even better balance and coordination! The 2 systems work together, summate to improve movement and balance!

Wow. All this from head position…The key here is to realize what and why you are doing what you are doing....

Heckert PR's with 2:38 at Chicago. Heckert, Njeim and Schneider Oly qualify.

It was a great Chicago marathon this year. I worked with some amazing athletes this year and I am so very excited for them, they did amazing ! So amazing in fact that 3 of them were the top Illinois finishers, and all Olympic qualified ! 
Congratulations to some fine runners, this one, someone who has become a good friend, Kristen Leigh (Kristen Heckert) was the top Illinois finisher and again, PR'd ! 2:38 ! and her husband and coach Michael Lucchesi , a long time friend and one of the best coaches i know was instrumental (he had 10 athletes run this year, helped them to 7 PRs and 3 under olympic trial standard, the 3 top ladies). Kristen, how can someone run that fast ? She finished 27th at the Olympic trials last round, shocking many who had underestimated her. I am excited for you Kristen, for the next round. Huge shout out to Chirine and Alyssa as well ! Congrats ! 1, 2, 3 ! And of course, to all the others I was able to help along the way, too many to mention here, I followed you all, and I am sending my sincere congratulations ! -Dr. Allen

Kristen Heckert 2:38 PR (Top finisher in Illinois)
Chirine Njeim 2:39 PR (2nd IL)
Alyssa Schneider 2:42 PR/Debut (3rd IL)

https://www.runnersworld.com/chicago-marathon/this-teacher-has-an-amazing-marathon-pr-and-a-mind-boggling-wakeup-call?utm_campaign=Runner%E2%80%99s+World&utm_medium=Social&utm_source=facebook.com&utm_term=1103204175

Swing matters, too.

 

 

We speak often about the 3 foot rockers, with particular attention often to ankle rocker (ankle mortise). But one must not forget about the rear and forefoot rockers, they have their important place as well.
But, we all too often only think of these parameters when the foot is on the ground.  The truth is, the swing limb is very important as well. How we swing, how the foot prepares for initial contact is also critical. 

Last week Ivo wrote about toe walkers, a topic we have written about several times previously on our blog "The Gait Guys". 

In this study, the researchers were appearing to look at plantarflexion posturing of the foot-ankle complex. the noted that"unilateral restricted ankle motion influenced kinematics mainly in the swing phase" as we proposed. Again, swing phase is just as critical as the stance phase of gait.  One might recall our mnemonic, "when the foot is on the ground, the glutes are in charge, and when the foot is in the air, the abdominals are in charge". This admittedly is a very loose statement, but it has its place to begin the dialogue. Meaning, there is more to it.  Yes, the hip flexors are key, but they have to be active on a precursor, sufficient control of the pelvis, via the abdominals in part.  To this point, the researchers noted that, "hip and knee peak flexion in the swing phase were increased on the restricted side". Meaning, that to clear a plantarflexed foot-ankle complex, one might have to accentuate flexion elsewhere.  No rocket science here. This is the "foot drop" strategy most of us are all to familiar with. People with foot drop have an inability to dorsiflex the ankle to clear the ground in swing, thus, to avoid tripping, one has to flex the limb higher up the chain, perhaps even hike the pelvis with the opposite leg hip abductors (plus a little frontal plane lean perhaps). This article however discusses restrictions, and not what we just discussed, loss of function. 

Furthermore, "Walking with unilateral restricted ankle motion had a negative effect on walking velocity, cadence, step time, and step length."

Gait Posture. 2015 Mar;41(3):835-40. 
Immediate effects of unilateral restricted ankle motion on gait kinematics in healthy subjects.  Romkes J1, Schweizer K2.
 

https://www.ncbi.nlm.nih.gov/pubmed/25800648

Podcast 128: Usain Bolt, Plantaris Tears, Arm Swing

Podcast links:

http://traffic.libsyn.com/thegaitguys/pod_128final.mp3

http://thegaitguys.libsyn.com/podcast-128-usain-bolt-plantaris-tears-arm-swing

https://www.thegaitguys.com/podcasts/


Key Tagwords:

usain bolt, plantaris tear, plantaris, sole lifts, heel lift, leg length, short leg, heel drop, shoeque, symmetry, asymmetry, sprinters, scoliosis, tendinopathy, achilles, runners, marathons, running injuries, arm swing

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Interested in our stuff ? Want to buy some of our lectures or our National Shoe Fit program? Click here (thegaitguys.com or thegaitguys.tumblr.com) and you will come to our websites. In the tabs, you will find tabs for STORE, SEMINARS, BOOK etc. We also lecture every 3rd Wednesday of the month on onlineCE.com. We have an extensive catalogued library of our courses there, you can take them any time for a nominal fee (~$20).
 
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Show Notes:

Superficial plantar cutaneous sensation does not trigger barefoot running adaptations.

https://www.ncbi.nlm.nih.gov/pubmed/28728130

Arm swing
http://www.medicalnewstoday.com/articles/173680.php

Usain bolt
https://mobile.nytimes.com/2017/07/20/sports/olympics/usain-bolt-stride-speed.html?referer=

Plantaris tears
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1978447/