Circles vs. Squares: What’s the best shape for a powerful cyclist?

If there was ever a good topic for an episode of Mythbusters, it would be this: should you pedal circles or pedal squares? We’ve been told that “pedaling circles” is important so that we can apply a smooth even pedal stroke. And word on the street is that this uniform application of power around the cranks is more efficient and makes a better rider.

We’ll lets mock up our own episode of Mythbusters. Let’s pretend that you are doing your thesis on power production in cycling (I did). And let’s also pretend that you are trying to get good data on good cyclists (this was my goal). In my research, I tapped into the best client database I could think of (the US Olympic Training Center). And lastly, let’s pretend that you could examine the pedal cycle of the entire national team, and developmental athletes (I could).  What would you find?

We’ll, this episode of Mythbusters would be pretty clear. World championship and Olympic medals have been won by riders who feature a smooth pedal cycle (circles) as well as cyclists who are mashers (squares). Uh oh. Don’t’ you hate it when real world data flies in the face of what you’ve been told. So where does this leave you?

Spin Scan Pedal Profile: Looking different doesn't mean one is better

Spin Scan Pedal Profile: Looking different doesn’t mean one is better

Its not to say that pedaling style is not important, because it is. In fact, research shows that elite cyclists have better pedaling mechanics than both recreationally competitive cyclists, and even elite triathletes. So if its not the “shape” of the application of power, what does better pedaling mean? Better cyclists have lots and lots of practice turning the pedals over. All this “practice” helps them produce the right amount of force from each muscle, without fighting, or co-contracting muscles during the pedaling cycle. They ride smoother and don’t fight their own pedal stroke. They also can change their pedaling cycle easily when they fatigue, in breaks, or up climbs. Having lots of “strategies” to tap into help as them adapt to the race conditions and terrain they are facing.

The take home:

▪   If you are a rider that has had success mashing your way along at 75 rpm, it doesn’t mean that you must learn to spin at 110 rpm just because someone else does.

▪   Pedaling technique is a variable that better cyclists adjust based on terrain, fatigue, and surface. It is still worthwhile to learn proper pedaling strategies. If you do want to improve your spin, the most beneficial cues are to “scrape mud” off the bottom of your shoe at the bottom of the stroke, and to “kick a ball” at the top of the pedal stroke.

▪   Traction matters. In general mountain bikers have a smoother pedal stroke to maintain traction. If they put all their power around a small part of the pedal cycle their tires spin out.  If you spend time on dirt, emphasize smooth power to keep your tires hooking up  – especially on the climbs.

▪   Better cyclists don’t necessarily pedal circles or squares. They just pedal better circles and better squares – stop reading and go for a ride!

 

 

Spin Scan Pedal Profile: Looking different doesn't mean one is better

Spin Scan Pedal Profile: Looking different doesn’t mean one is better

The Tipping Point: how does aerodynamics impact cycling?

Cycling is a balance act – you want to produce as much power as possible to make your bike move forward, while maintaining comfort, aerodynamics, handling, and safety. But quite often, we loose sight of the big picture in search of the “fastest looking position.” The most common question I get from time trialists and triathletes is, “Can you make me more aero?” Let’s tackle this issue head on using an example, and some science.

TippingPointPicSeveral years ago, I did a fit on a medical resident; we’ll call him Bill. He was three years into his cycling career and was doing quite well at the district and state level. He came and saw me for a bike fit on his time trial bike. His goals were to podium at state and place top 10 at nationals, and also to eliminate his low back pain on the bike. I’ll spare you the details, but after his fitting, his back pain was 100% gone, he won state, and placed 4th at nationals in the 40K time trial. The next year, he stood on the podium at nationals. Bill was very happy.

Right after nationals, Bill graduated and began making more income and sought out the advice of a wind tunnel to squeak out a performance advantage. The folks in the wind tunnel were able to produce a 28% improvement in his drag coefficiency. This is a very, very large improvement in aerodynamics! Bill left and was excited to see how this new position would play out over the season.

Well, things didn’t play out so well. Bill called after several months of riding in his new position. His back pain returned. He hadn’t made the podium in a single time trial all season. And he wasn’t able to hit the same power output on his new time trial position that he could easily hit on his road bike. Guess what we did? We adjusted his fit exactly back to where it was when we last worked together. Bill made the podium in his next race, and the next, and the next, and won nationals. Bill was happy again.

What happened? Bill hit the tipping point. Sure, he was more aerodynamic, but aerodynamics don’t make you ride fast; producing power does. Let’s back this up with some data:

  • The chief obstacle you have below 11 mph is the rolling resistance of your tires. At slow speeds, nothing matters more than tires and pressure.
  • When your average speed is above 25 mph we should begin to have talks on aerodynamics, and when your average speed is above 27 mph we really need to address aerodynamics. But for most riders, you’ll gain more speed by producing more power over your entire race distance rather than aiming to adopt a sleek, aerodynamic position.
  • Comfort matters. For most competitive cyclists, it’s likely you’re signing up events that 40K or longer. Those of you doing Ironman distance events are spending 5+ hours on the bike. Don’t try to replicate the overly aggressive position of a Tour de France time trailer (whose TT is quite short) just because you think it looks cool. You’ll end up so uncomfortable in your aerobars that you won’t be able to stay in them for long.
  • Power comes from your hips, not your knees. If I told you that you had a muscle in your body that had the best leverage of any other muscle, and was more resistant to fatigue, wouldn’t you want to tap into that muscle? You do have that muscle; it’s called your gluteus maximus. Strong quads are nice, but a proper position on the bike optimizes your glut to drive the pedals.

To get aerodynamic, most riders opt for a low, forward position to get their trunk down and out of the wind. This creates two issues. First, it compromises power by shifting emphasis from muscles in your hips (very fatigue resistant) to your knees (fatigue quicker). Poor compromise. Second, I’ve personally been in the wind tunnel with athletes and it is possible to get excellent drag numbers while maintaining a very powerful pedal stroke. This gets complex and very individualized, but good bike fitters can not only help you look better to the wind, but look better to the clock

 

 

Bike Fit: yes, its worth it. But don’t take my word for it.

Screen Shot 2013-09-10 at 3.28.42 AMBike fit is critical. Why? cycling is a pretty constrained motion, and you go through a LOT of repetitions. Even the forces on the body are much lower than running, the volume on the bike can still add up to a lot of wear and tear.

So can it make you faster? Optimizing the position of your engine (you!) over your machine (your bike) does in fact pay off. The research is pretty much all over the place on bike fit. Doing well controlled studies is pretty hard to do for cycling, because people are just different. But when you really nail down what’s different, and work to not just improve the “Fit” but also improve the rider on the bike, big things start happening.  In light of this, I thought I’d offer some feedback from a few of my clients over the past year.

“after years of low back pain on the bike, nothing hurts! – thanks!”
Chris Eatough – Professional Mountain Biker, Six-time World 24hr Solo Mountain Bike Champion, Five time US 24hr Solo Champion

“wow – this is going to be fast! – thanks!”
Ben King – Professional Road Cyclist, US National Champion

“Thank man! Had a solid ride yesterday with the new position! Best power output so far by a ways”
Jesse Thomas – professional triathlete, multiple-time Wildflower champion

“Basically, I feel like a kid in Maine again: Lower seat, cleats further back, putting down the power, and trying to ruin corners. Its really fun”
Adam Craig – professional mountain biker: US Olympian, US Champion in XC, Super D, and Cyclocross, Single Speed World Champion

“Loving my bike fit – fast and comfy”
Carl Decker – professional mountain biker, multiple time Downieville All-mountain Champion, US Super D champion, US Road Champion, Single Speed World champion

“Loved, loved, LOVED it! Bike felt so good – Thank you!!!”
Serena Bishop Gordon – 2013 NUE Series Champion, 2nd place US Mountain Bike Marathon Nationals

“The juice is back – nothing hurts and feeling strong!”
Matt Lieto – professional triathlete, commentator, author, fastest bike split IM Whistler 

I don’t work magic, but I do my best to help you achieve your goals. Give me a call if I can help you out with yours.

My new book: bedtime story for the new royal baby?

It seems the Brits have been busy. A few weeks ago, a new Royal baby greeted the world, and it seems my collection of bedtime stories to Prince George was released just in time!

photo-14Anatomy for Runners has made quite an impact. Since its release almost one year ago, its been one of the top selling running books, and achieved significant accolades with runners, coaches, clinicians, and the industry. In fact the book has done so well, that it was picked up by a UK-based Lotus Publishing Group. The overseas edition, re-titled “Run Like an Athlete” is available now to anyone on the other side of the pond. I’m quite happy with this title – its actually hat I wanted to call the US book in the first place. It features all the same excellent content, although its been translated from English to well, English……

Yes…..The Queen’s prose is quite different from our countrymen’s linguistics. Going through the editing process with the publisher, I’m shocked at how much it was altered for the european audience: “Soccer mom = football mum” are among thousands of edits.

Note: this version of the book is best utilized with hot tea, crumpets, ascots, and a Hugh Grant movie playing in the background. 

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my copy arrives by none other than the Royal Mail

Can I buy Speed?

Adam Craig gets his position optimized at the REP Lab prior to the season

Adam Craig gets his position optimized at the REP Lab prior to the season

Cyclists want two very simple things. They want to be comfortable on their bike, and they want to be fast. And anytime we “want” something, we must ask the question – how hard must I work to achieve it? Or in this golden age of cycling, a lot of cyclists ask a different question – can I buy more speed? Well, let’s stop asking questions, and start producing some answers.

As a physical therapist, I can tell you that cycling takes its toll on the body. You do a fairly limited range of motion over and over and over again for thousands of miles a year. If things are lined up properly on the bike, and you are careful and follow a smart training program, you’ll maximize efficiency and prevent injury. When things are “off”, we wind up with imbalances that manifest themselves as injury. Injury is a whole other topic for a latter time. The other problem we wind up with is poor efficiency. Proper knowledge and equipment go a long way towards accomplishing a goal of optimal fit.

I’d like to summarize a paper that was published in a peer-reviewed, independent journal. Asker Jeukendrup and James Martin wrote “Improving Cycling Performance: How Should We Spend Our Time and Money”. The authors wanted to quantify the effects of various cycling factors to see which was most beneficial from both a time and cost standpoint. In this study they use simulated “models” to arrive at their predictions. Since they aren’t comparing apples to apples and oranges to oranges, the mathematical models allow them to base time gains on previously established research findings (from independent, peer-reviewed journals). Instead of just saying, “bike fit helps”, the authors sought to quantify exactly how much help a cyclist gets with a given alteration in their program. If you ride for Team Sky, you can skip the rest of this, as your cycling resources are unlimited. However, if you are a cyclist balancing riding, school, wife, kids, girlfriend, busted radiator, food, and time at the dog park – read along. They examined both Internal and External Factors as shown below:

Factors Changed Time Savings Observed in 40K TT
Internal Factors
Training 1-7 minutes
Caffeine 55-84 seconds
Carbohydrate 32-42 seconds
Altitude Training 23-34 seconds
External Factors
Body Position 2-2.5 minutes
Aerodynamic Wheels 60-82 seconds
Wheel Weight 10-72 seconds (grade dependent)
Body Mass 19-25 seconds (rolling TT course)
Bicycle Mass 5-13 seconds (rolling TT course)

You can see that the old adage holds true – there is no substitute for training. Period. Got it? Yes – you have to ride you bike. And you have to ride smart. Lots of base, properly periodized training plan, intervals, and a good taper all add up to good performance on race day. Aside from training, this article offers some interesting findings on where we should concentrate our efforts. Bike fit is key. It’s free speed. Faster with less effort and more biomechanically sound. It’s a win-win all around for the time and money you’ll invest and performance gained. Also – it’s a benefit that is there every time you get on your bike. You are always reaping the benefits of training in the most optimum position. It is very different then spending 1200 dollars on a pair of wheels you only get the benefit from 5 or 6 days a year.

At the REP Lab, we use a whole lot of technology, knowledge, first hand trial and error, experience, and common sense to achieve the most optimum fit for you – not a formula out of a book. A solid bike fit gets you a whole lot closer to achieving your optimum performance now.

I encourage you to check out the full article if you want more information:

Jeukendrup, A.E., and Martin, J. Improving Cycling Performance, How Should We Spend Our Time and Money? Sports Med; 31(7):559-569

Total success under the stars: In the Highcountry

Last night, you as a community:

Filled a garbage can full of food (kudos to whoever brought the red beans and rice) for Neighborhood Impact

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Raised money for Central Oregon Running Klub (CORK) Youth Development: 100% of the ticket sales went straight to a great cause

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Watched the YogaSlackers put on amazing show of athletic skill and balance, and come up out of your seats and joined in the fun (note: the 4 people you see on the ground in this photo are trained skilled professionals, the 4 people laying, hanging, and sitting on the trained professionals’ feet are not, and were pulling off these tricks within 5 min!)

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Watch as Joel Wolpert’s camera depicts the soul of Anton Krupicka trekking, running, and climbing all over our world. If you weren’t able to join us last night, you can check out the In the Highcountry here.

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Lastly – I’d like to thank our gracious sponsors for making this evening possible:  Deschutes Brewery, FootZone, Fleetfeet, and the REP Biomechanics Lab @ Rebound Physical Therapy.

“In the Highcountry” film premier – this Tuesday night @ Rebound!

High-Country-vimeo-Thumb-smPNW premier of “In the Highcountry” is this tuesday night @ Rebound Westside. We’ll be outside under the stars – Show up at 7:30 to hang out with your friends, sip free beer courtesy of Deschutes Brewery, chow popcorn, watch an acrobatics show with the YogaSlackers, and the highlight of the night….the film and a conversation with the film maker  – Joel Wolpert. cost is $5 plus a can of food. All food goes to those locally in need, and ALL PROCEEDS go to CORK youth developmental running probrams here in Bend!

In the High Country is an impressionistic mountain running film: a visual essay about a life in the mountains. It looks at running from a new perspective, both visually and in the style of running. This kind of movement blurs the lines between running and climbing, between human and mountain.

One way to learn our place in the world is through millions of accumulated steps: on gravel roads, glacial creeks, and over high mountain summits. Each stride imprints the terrain more deeply in the mind. The importance of any specific event falls away in the face of an ever-building accumulation of understanding.

In the High Country is the result of a year-long collaboration between filmmaker Joel Wolpert and mountain-runner Anton Krupicka. The film follows Krupicka’s evolution in running from his roots in Niobrara, Nebraska, to the Roost, his pickup truck home, and the miles in between; from itinerant shenanagins to speed soloing on the Flatirons.

special thanks to our local sponsors for making this night possible:
REP Biomechanics Lab — Deschutes Brewery — FootZone — Fleetfeet

Brain Power: Athletes, Coaches, and Clinicians – Join us for a great event in Bend, or beyond

Today, we’ve got a smattering of amazing educational opportunities to announce:

This Thursday in Bend, OR @ 7:30 at the Westside Clinic: Athletes – Please join Jay Dicharry PT (REP Biomechanics Lab Director) Matt Lieto (Pro Triathlete) and Keats McDougal (Ironman Canada & Tahoe Director) for a night of Mobility and Multi-sport discussion. Jay will provide the latest research on mobility and best practices for multisport athletes. We’ll answer the most common questions: What does stretching do for the body? When should you stretch? How long? What’s the difference between dynamic warm-up and stretching? And how does soft tissue work play into this whole discussion? Next,  Matt will discuss his training plans and and upcoming race prep considerations. Matt will show you how the lessons he’s learned along the way can help you prepare better for your next event. Finally, Matt will lead a Q and A with Keats. They’ll provide an overview and considerations of these two challenging courses. It will help you prep for this year’s race, or feed your stoke for next year!  Stick around after for a question and answer session with our panel. And yes, we’ll have beer. Cost: free. No brainer!

This weekend in Boulder Colorado (7/13-7/14): Calling all healthcare professionals – are you tired of getting your information on running mechanics from the mainstream media? Would you be interested in a immersive weekend of education that is based around hundreds of peer-reviewed articles, hands on clinical assessment, and gait cues? We’ll construct a framework of what we know about running mechanics and their effect on performance and economy. And more importantly, we’ll show you how this information applies not just to the masses, but to your individual patients. In short, this is all the stuff you wish they had told you in Med school, PT program, or ATC curriculum. There are still a few spots left. See here for details.

August 23-24th in San Jose: Tri-athletes and would-be coaches– are you looking to get your Level 1 certification? Then join us for the USA Triathlon coaching clinic. Two days packed full of essential knowledge to help you and your athletes succeed.

Sept 21st and 22nd in Bay Area: Running Coaches – this one is all for you. We are going to delve into the truth behind running mechanics, screening strategies for your team, the impact of strength training to improve performance,  discuss the role of footwear, and more. Andrew Allden chairs this event – he’s brought in a knock out panel each and every time –  Learn to think outside the box to take your team to the next level @ this USATF Level 3 Coaching Seminar. More info here

Yea, I know – blogging and tweeting is supposed to make us all smarter. But you know what really makes us smarter? talking face to face. See you soon!

Bike Position for Power and Speed: free talk this Friday night

Hey Oregon cyclists and Pacific Crest Racers!

This Friday, at the SHARC in Sunriver, I’ll be giving a talk on bike position, and giving some really key tips on how to pedal stronger (the right way…..and its way more than just circles vs squares!)

Pedaling circles vs squares? we’ll explore truth vs myth.
how should you sit on a bike?
Pedaling from the knee vs the hip
How to do core exercises while riding your bike!
Q & A

no strings attached – all free – just come on by and grab a beer and a seat. You’ll leave with tips you can implement during your ride on Sat AM. Looking to spread the good word on my research and work for the past decade so we can all have more fun riding. Want more info? look here …. see you there!

Do you sprain your ankles? if so read this!

Screen Shot 2013-06-25 at 3.31.53 AMThere’s a good chance that you heard a friend say ” I sprain my ankles all the time”….or maybe you are the one saying this! Why do some people sprain, and then keep spraining their ankles over and over? Well, we recently published a study examining just this. This study was first-authored by one of our former grad students, Lisa Chinn, PhD,  as part of her dissertation at the University of Virginia. While Lisa has moved on to a faculty position @ Kent State,  she spearheaded this project. So, I thought I’d play “7 Questions with Dr. Chinn.

I’ll briefly set the stage here. People with chronic ankle instability sprain, and keep spraining their ankles. There has been lots of attention paid to this area of research lately, because lots of sprains can cause lots of long term problems, and lead to lots of down time in training. Most of the research comparing the folks who keep spraining their ankles is done comparing walking and running barefoot. Yes, I know the barefoot movement is strong, but let’s face it – most people are wearing shoes, and despite what you’d like to think, barefoot gait is quite different than your gait in shoes (and it’s NOT just rearfoot vs forefoot folks….) Given the following, we thought that we’d examine the different ways people walk and run when they have healthy ankles, “single-sprain” ankles, or “chronic ankle instability” ankles.  This got slightly technical at times, but I tried to summarize things towards the end. Since about 30-60% of you will have this issue, let’s ask Dr Chinn some Q’s:

1. What is chronic ankle instability, and how does this differ from people who have only had one sprain?

Chronic ankle instability (CAI), interestingly enough, is a very difficult (sometimes frustrating) syndrome to define. There is an ongoing discussion for a common description of CAI; however as of now, there is not a universally accepted definition. Some researchers rely purely on subjective reporting of symptoms by patients, while others, require some type of mechanical dysfunction to be present at the ankle joint, while still others desire a history of multiple ankle sprains. And of course, there are some who use any combination of the three. The majority of researchers (myself included) will described CAI as the long-term feelings of your ankle giving way or weakness following an initial ankle sprain. This can occur as a result of a single ankle sprain or from an accumulation of multiple sprains. Many subjects/patients claim to “tweak” their ankles all the time. It is estimated that about 30-60% of individuals that sustain an initial lateral ankle sprain will develop CAI.

There is a group of individuals who sprain their ankle once and who do not go on to develop CAI; researchers are currently using the term “coper” to describe these individuals. Research is relatively new on this population. What about them results in a full recovery from their ankle sprain? Was the sprain different or was something regarding their rehabilitation different? Are there other characteristics of these individuals that reduce their feeling of instability? Or, have they changed their lifestyle to not put themselves at risk for “tweaking” their ankle? This is a very exciting area of research because, our goal as a clinician is to prevent CAI from occurring and since we probably won’t ever figure out how to actually prevent ankle sprains from happening; we would like to determine how to get all ankle sprainers to become copers.

2. Why did you choose this topic to research?

I am an Athletic Trainer by profession. While working with various sports, at various levels, and multiple age groups one injury I always encountered were ankle sprains. No matter who you are, there is a risk of suffering an ankle sprain. With my background in athletic training and my exposure to the injury, when I decided to go to the University of Virginia for my doctorate I decided that I wanted to focus my research on ankle sprains and ankle instability. Being at UVA gave me access to prominent ankle researchers and an unbelievable motion analysis laboratory which I took advantage of.

This particular study was developed as a progression from a previous study conducted at the lab. A couple of years prior to my arrival to UVA, Lindsay Drewes (now Lindsay Sauer) and Patrick McKeon, conducted a similar study in CAI subjects, however, their data was collected while subjects were barefoot (Drewes et al., 2009; Drewes, McKeon, Kerrigan, & Hertel, 2009). Their studies reported some interesting findings; however asking individuals to perform barefoot tasks is novel, so I wanted to replicate the study while subjects were shod (shod means in shoes), a more common/comfortable condition.

3. What did you find?

The short answer: we found that while shod, gait kinematics are different between those with and without CAI. (note: kinematics is a fancy word for range of motion)

Interestingly, unlike previous gait research on CAI subjects, we did not find kinematic differences just prior to, at, or immediately following initial contact. I think adding shoes to our methods has revealed altered kinematics that barefoot methods had not previously done. Our kinematic differences occurred towards terminal stance as well as during swing. One thing to note is; no one really understands when ankle sprains occur, it has been hypothesized that they may occur either at initial contact OR terminal stance (Konradsen & Voigt 2002). However the majority of research has only focused on initial contact. Our study actually evaluated the entire gait cycle finding difference at terminal stance is very new and original. Hopefully this will encourage more researchers to evaluate the later stages of gait in the future.

4. Given that the previous research was using people walking/running barefoot, what do you think adding shoes into the equation helps?

Adding shoes to the research has added a piece to the mysterious CAI puzzle. Before I discuss what shoes added, let me explain a little about the shoes we used. We were able to obtain multiple pairs (both men and women sizes) of Brook Defyance shoes. Collaborating closely with Brooks, we were able to remove various aspects of the shoe to enable us to place anatomical markers on a subject’s skin without disrupting the integrity of the shoe. Placing markers on the skin allowed us to better observe joint kinematics. Placing markers on top of shoes (which has been done in the past) only allows researchers to observe what the shoe is doing. Shoes may slip or move differently than the joint. Our goal was to see what each individual’s limb was doing, which with this custom shoe we were able to do.

So, getting back to your question, I believe incorporating shoes, specifically our custom shoes, has significantly contributed the CAI literature. Previous research has shown that there are kinematic differences and muscle activation differences between running barefoot and shod (Kerr et al 2009, De Wit et al 2000, Burkett et al 1985). If anyone has ever tried to go and run barefoot (outside or on a treadmill) without weeks of acclimation, your feet hurt and your gait naturally changes in order to adequately absorb forces. The majority of previous CAI literature asked their subjects to perform this novel task of running barefoot. Knowing that gait changes, we are unsure if their findings are due to the task or due to CAI or both. Allowing our subjects to wear shoes, we were able to capture a more natural gait stride. Secondly, plantar stimulation has been shown to affect CAI subjects differently than healthy controls. Placing shoes on our subjects may have provided some stimulation that barefoot gait does not. Plus, being an athletic trainer, I always want to try to mimic what athletes do and there are not many sports that train or compete barefoot.

5. Can you make any recommendations based on this study?

I think the most important recommendation I have for clinicians and athletes is not to shrug an ankle sprain off as “just” an ankle sprain. This study as well as the majority of CAI literature shows that individuals with CAI have both local and global alterations compared to healthy controls. We also know that CAI has been linked to osteoarthritis. This study specifically shows that gait changes can be observed. After suffering from an ankle sprain and those who have CAI should evaluate their rehabilitation and not hurry back to activity. Therapists can incorporate gait re-training exercises into rehabilitation.

6. What questions remain unanswered about the effects of CAI on athletes?

Oh so many! As any researcher will tell you, as we answer one question it seems like 10 more pop up. I touched upon this previously, but I think the three most important unanswered questions pertaining to CAI are, 1) What causes it? 2) Can we prevent it? and, 3) How do we best treat it? I know these are three very broad questions, but it’s what all CAI researchers are striving to determine.

7. Describe your new career/research interest for us?

Since leaving UVA about a year ago and starting here at Kent State University, my overall research focus has not changed; I still want to better understand CAI and determine how to prevent CAI. However, because I do not have access to a state-of-the-art motion analysis lab my methods are shifting a bit. Neuromuscular control, balance, and proprioception are, in my opinion, the keys to ankle sprain rehabilitation. I am implementing various interventions on individuals with CAI in hopes to determine the most effective way to treat this syndrome.

So…..for those of you wanting a simple summary. Here it is. People who keep spraining their ankles walk and run different from those who don’t sprain frequently. While some of you may say “who cares”  – this is pretty important stuff. You see, all the gait research out there says something pretty simple. Variability is good. Its good to have slightly different ways to move. This way, when you get into “interesting situations” (like when you plant your foot slightly wrong) you have a skill set in place to correct your ankle position and save your body from injury. But this study shows that the pattern of people with CAI is different. And since these people keep spraining, one could say this compensated pattern really isn’t working….and is likely a big contributing factor to their ongoing issues.

From the clinical side, its a good idea to improve the stability of your foot and ankle. Strong muscles inside the feet means less stress to the joint and better proprioception for faster stability, which both reduce injury risk. Want some more? Check out foot some specific foot strengthening exercises in my book, and on this video below (right about 3:22).

Lastly, I’d like to say thanks to Lisa for all her work on this project, and thanks to Brooks for supplying shoes, and helping to ensure that the modifications we made to the study shoes to get 3D markers on the foot did not alter the function of the shoe during walking and running. If you’d like to contact Dr Chinn for additional questions, feel free to contact her below.

Lisa Chinn, PhD, AT. Assistant Professor in Athletic Training, Kent State University, Room 266D MACC Annex,Kent, OH 44242  – lchinn@kent.edu