@article{JafarnezhadgeroNorooziFakhrietal.2022,
  author    = {Jafarnezhadgero, Amir Ali and Noroozi, Raha and Fakhri, Ehsan and Granacher, Urs and Oliveira, Anderson Souza},
  title     = {The Impact of COVID-19 and muscle fatigue on cardiorespiratory fitness and running kinetics in female recreational runners},
  series = {Frontiers in physiology},
  volume    = {13},
  journal   = {Frontiers in physiology},
  publisher = {Frontiers Media},
  address   = {Lausanne},
  issn      = {1664-042X},
  doi       = {10.3389/fphys.2022.942589},
  pages     = {10},
  year      = {2022},
  abstract  = {Background: There is evidence that fully recovered COVID-19 patients usually resume physical exercise, but do not perform at the same intensity level performed prior to infection. The aim of this study was to evaluate the impact of COVID-19 infection and recovery as well as muscle fatigue on cardiorespiratory fitness and running biomechanics in female recreational runners. Methods: Twenty-eight females were divided into a group of hospitalized and recovered COVID-19 patients (COV, n = 14, at least 14 days following recovery) and a group of healthy age-matched controls (CTR, n = 14). Ground reaction forces from stepping on a force plate while barefoot overground running at 3.3 m/s was measured before and after a fatiguing protocol. The fatigue protocol consisted of incrementally increasing running speed until reaching a score of 13 on the 6-20 Borg scale, followed by steady-state running until exhaustion. The effects of group and fatigue were assessed for steady-state running duration, steady-state running speed, ground contact time, vertical instantaneous loading rate and peak propulsion force. Results: COV runners completed only 56\% of the running time achieved by the CTR (p < 0.0001), and at a 26\% slower steady-state running speed (p < 0.0001). There were fatigue-related reductions in loading rate (p = 0.004) without group differences. Increased ground contact time (p = 0.002) and reduced peak propulsion force (p = 0.005) were found for COV when compared to CTR. Conclusion: Our results suggest that female runners who recovered from COVID-19 showed compromised running endurance and altered running kinetics in the form of longer stance periods and weaker propulsion forces. More research is needed in this area using larger sample sizes to confirm our study findings.},
  language  = {en}
}
@article{JafarnezhadgeroPiranHamlabadiSajedietal.2022,
  author    = {Jafarnezhadgero, Amir Ali and Piran Hamlabadi, Milad and Sajedi, Heidar and Granacher, Urs},
  title     = {Recreational runners who recovered from COVID-19 show different running kinetics and muscle activities compared with healthy controls},
  series = {Gait \& posture : official journal of Gait and Clinical Movement Analysis Society, European Society of Movement Analysis in Adults and Children, Societ{\`a} Italiana di Analisi del Movimento in Clinica, International Society for Posture and Gait Research},
  volume    = {91},
  journal   = {Gait \& posture : official journal of Gait and Clinical Movement Analysis Society, European Society of Movement Analysis in Adults and Children, Societ{\`a} Italiana di Analisi del Movimento in Clinica, International Society for Posture and Gait Research},
  publisher = {Elsevier},
  address   = {Amsterdam [u.a.]},
  issn      = {0966-6362},
  doi       = {10.1016/j.gaitpost.2021.11.002},
  pages     = {260 -- 265},
  year      = {2022},
  abstract  = {Background: Social isolation through quarantine represents an effective means to prevent COVID-19 infection. A negative side-effect of quarantine is low physical activity. Research question: What are the differences of running kinetics and muscle activities of recreational runners with a history of COVID-19 versus healthy controls? Methods: Forty men and women aged 20-30 years participated in this study and were divided into two experimental groups. Group 1 (age: 24.1 +/- 2.9) consisted of participants with a history of COVID-19 (COVID group) and group 2 (age: 24.2 +/- 2.7) of healthy age and sex-matched controls (controls). Both groups were tested for their running kinetics using a force plate and electromyographic activities (i.e., tibialis anterior [TA], gastrocnemius medialis [Gas-M], biceps femoris [BF], semitendinosus [ST], vastus lateralis [VL], vastus medialis [VM], rectus femoris [RF], gluteus medius [Glut-M]). Results: Results demonstrated higher peak vertical (p = 0.029; d=0.788) and medial (p = 0.004; d=1.119) ground reaction forces (GRFs) during push-off in COVID individuals compared with controls. Moreover, higher peak lateral GRFs were found during heel contact (p = 0.001; d=1.536) in the COVID group. COVID-19 individuals showed a shorter time-to-reach the peak vertical (p = 0.001; d=3.779) and posterior GRFs (p = 0.005; d=1.099) during heel contact. Moreover, the COVID group showed higher Gas-M (p = 0.007; d=1.109) and lower VM activity (p = 0.026; d=0.811) at heel contact. Significance: Different running kinetics and muscle activities were found in COVID-19 individuals versus healthy controls. Therefore, practitioners and therapists are advised to implement balance and/or strength training to improve lower limbs alignment and mediolateral control during dynamic movements in runners who recovered from COVID-19.},
  language  = {en}
}
@article{AzadianMajlesiJafarnezhadgeroetal.2020,
  author    = {Azadian, Elaheh and Majlesi, Mahdi and Jafarnezhadgero, Amir Ali and Granacher, Urs},
  title     = {The impact of hearing loss on three-dimensional lower limb joint torques during walking in prepubertal boys},
  series = {Journal of bodywork and movement therapies},
  volume    = {24},
  journal   = {Journal of bodywork and movement therapies},
  number    = {2},
  publisher = {Elsevier},
  address   = {Amsterdam},
  issn      = {1360-8592},
  doi       = {10.1016/j.jbmt.2019.10.013},
  pages     = {123 -- 129},
  year      = {2020},
  abstract  = {Introduction: In children, the impact of hearing loss on biomechanical gait parameters is not well understood. Thus, the objectives of this study were to examine three-dimensional lower limb joint torques in deaf compared to age-matched healthy (hearing) children while walking at preferred gait speed. Methods: Thirty prepubertal boys aged 8-14 were enrolled in this study and divided into a group with hearing loss (deaf group) and an age-matched healthy control. Three-dimensional joint torques were analyzed during barefoot walking at preferred speed using Kistler force plates and a Vicon motion capture system. Results: Findings revealed that boys with hearing loss showed lower joint torques in ankle evertors, knee flexors, abductors and internal rotators as well as in hip internal rotators in both, the dominant and non-dominant lower limbs (all p < 0.05; d = 1.23-7.00; 14-79\%). Further, in the dominant limb, larger peak ankle dorsiflexor (p < 0.001; d = 1.83; 129\%), knee adductor (p < 0.001; d = 3.20; 800\%), and hip adductor torques (p < 0.001; d = 2.62; 350\%) were found in deaf participants compared with controls. Conclusion: The observed altered lower limb torques during walking are indicative of unstable gait in children with hearing loss. More research is needed to elucidate whether physical training (e.g., balance and/or gait training) has the potential to improve walking performance in this patient group. (C) 2019 Elsevier Ltd. All rights reserved.},
  language  = {en}
}
@article{JafarnezhadgeroFatollahiGranacher2022,
  author    = {Jafarnezhadgero, Amir Ali and Fatollahi, Amir and Granacher, Urs},
  title     = {Eight weeks of exercising on sand has positive effects on biomechanics of walking and muscle activities in individuals with pronated feet},
  series = {Sports : open access journal},
  volume    = {10},
  journal   = {Sports : open access journal},
  number    = {5},
  publisher = {MDPI},
  address   = {Basel},
  issn      = {2075-4663},
  doi       = {10.3390/sports10050070},
  pages     = {16},
  year      = {2022},
  abstract  = {This study aimed to investigate the effects of eight weeks of barefoot running exercise on sand versus control on measures of walking kinetics and muscle activities in individuals with diagnosed pronated feet. Sixty physically active male adults with pronated feet were randomly allocated into an intervention or a waiting control group. The intervention group conducted an 8-weeks progressive barefoot running exercise program on sand (e.g., short sprints) with three weekly sessions. Pre and post intervention, participants walked at a constant speed of 1.3 m/s +/- 5\% on a 18 m walkway with a force plate embedded in the middle of the walkway. Results showed significant group-by-time interactions for peak impact vertical and lateral ground reaction forces. Training but not control resulted in significantly lower peak impact vertical and lateral ground reaction forces. Significant group-by-time interactions were observed for vastus lateralis activity during the loading phase. Training-induced increases were found for the vastus lateralis in the intervention but not in the control group. This study revealed that the applied exercise program is a suitable means to absorb ground reaction forces (e.g., lower impact vertical and lateral peaks) and increase activities of selected lower limb muscles (e.g., vastus lateralis) when walking on stable ground.},
  language  = {en}
}
@article{JafarnezhadgeroAnvariGranacher2020,
  author    = {Jafarnezhadgero, Amir Ali and Anvari, Maryam and Granacher, Urs},
  title     = {Long-term effects of shoe mileage on ground reaction forces and lower limb muscle activities during walking in individuals with genu varus},
  series = {Clinical biomechanics},
  volume    = {73},
  journal   = {Clinical biomechanics},
  publisher = {Elsevier},
  address   = {Oxford},
  issn      = {0268-0033},
  doi       = {10.1016/j.clinbiomech.2020.01.006},
  pages     = {55 -- 62},
  year      = {2020},
  abstract  = {Background: Shoe mileage is an important factor that may influence the risk of sustaining injuries during walking. The aims of this study were to examine the effects of shoe mileage on ground reaction forces and activity of lower limb muscles during walking in genu varus individuals compared with controls. Methods: Fifteen healthy and 15 genu varus females received a new pair of running shoes. They were asked to wear these shoes over 6 months. Pre and post intervention, mechanical shoe testing was conducted and ground reaction forces and muscle activities of the right leg were recorded during walking at preferred gait speed. Findings: Significant group-by-time interactions were found for shoe stiffness, antero-posterior and vertical impact peak. We observed higher shoe stiffness and lower impact peaks after intervention in both groups with larger effect sizes in genu varus. Significant group-by-time interactions were identified for vastus medialis (loading phase) and rectus femoris (loading and push-off). For vastus medialis, significant decreases were found from pre-to-post during the loading phase in the control group. Rectus femoris activity was higher post intervention during the loading and push-off phases in both groups with larger effect sizes in genu varus. Interpretation: Our findings indicate that the observed changes in ground reaction forces are more prominent in genu varus individuals. Together with our findings on shoe stiffness, it seems appropriate to change running shoes after an intense wearing time of 6 months, particularly in genu varus individuals.},
  language  = {en}
}
@article{JafarnezhadgeroNorooziFakhriMirzanagetal.2022,
  author    = {Jafarnezhadgero, Amir Ali and Noroozi, Raha and Fakhri Mirzanag, Ehsan and Granacher, Urs and de Souza Castelo Oliveira, Anderson},
  title     = {The Impact of COVID-19 and Muscle Fatigue on Cardiorespiratory Fitness and Running Kinetics in Female Recreational Runners},
  series = {Frontiers in Physiology},
  volume    = {13},
  journal   = {Frontiers in Physiology},
  publisher = {Frontiers},
  address   = {Lausanne, Schweiz},
  issn      = {1664-042X},
  doi       = {10.3389/fphys.2022.942589},
  pages     = {1 -- 10},
  year      = {2022},
  abstract  = {Background: There is evidence that fully recovered COVID-19 patients usually resume physical exercise, but do not perform at the same intensity level performed prior to infection. The aim of this study was to evaluate the impact of COVID-19 infection and recovery as well as muscle fatigue on cardiorespiratory fitness and running biomechanics in female recreational runners. Methods: Twenty-eight females were divided into a group of hospitalized and recovered COVID-19 patients (COV, n = 14, at least 14 days following recovery) and a group of healthy age-matched controls (CTR, n = 14). Ground reaction forces from stepping on a force plate while barefoot overground running at 3.3 m/s was measured before and after a fatiguing protocol. The fatigue protocol consisted of incrementally increasing running speed until reaching a score of 13 on the 6-20 Borg scale, followed by steady-state running until exhaustion. The effects of group and fatigue were assessed for steady-state running duration, steady-state running speed, ground contact time, vertical instantaneous loading rate and peak propulsion force. Results: COV runners completed only 56\% of the running time achieved by the CTR (p < 0.0001), and at a 26\% slower steady-state running speed (p < 0.0001). There were fatigue-related reductions in loading rate (p = 0.004) without group differences. Increased ground contact time (p = 0.002) and reduced peak propulsion force (p = 0.005) were found for COV when compared to CTR. Conclusion: Our results suggest that female runners who recovered from COVID-19 showed compromised running endurance and altered running kinetics in the form of longer stance periods and weaker propulsion forces. More research is needed in this area using larger sample sizes to confirm our study findings.},
  language  = {en}
}
@article{JafarnezhadgeroAmirzadehFatollahietal.2022,
  author    = {Jafarnezhadgero, Amir Ali and Amirzadeh, Nasrin and Fatollahi, Amir and Siahkouhian, Marefat and de Souza Castelo Oliveira, Anderson and Granacher, Urs},
  title     = {Effects of running on sand vs. stable ground on kinetics and muscle activities in individuals with over-pronated feet},
  series = {Frontiers in physiology / Frontiers Research Foundation},
  volume    = {12},
  journal   = {Frontiers in physiology / Frontiers Research Foundation},
  publisher = {Frontiers Research Foundation},
  address   = {Lausanne, Schweiz},
  issn      = {1664-042X},
  doi       = {10.3389/fphys.2021.822024},
  pages     = {1 -- 10},
  year      = {2022},
  abstract  = {Background: In terms of physiological and biomechanical characteristics, over-pronation of the feet has been associated with distinct muscle recruitment patterns and ground reaction forces during running. Objective: The aim of this study was to evaluate the effects of running on sand vs. stable ground on ground-reaction-forces (GRFs) and electromyographic (EMG) activity of lower limb muscles in individuals with over-pronated feet (OPF) compared with healthy controls. Methods: Thirty-three OPF individuals and 33 controls ran at preferred speed and in randomized-order over level-ground and sand. A force-plate was embedded in an 18-m runway to collect GRFs. Muscle activities were recorded using an EMG-system. Data were adjusted for surface-related differences in running speed. Results: Running on sand resulted in lower speed compared with stable ground running (p < 0.001; d = 0.83). Results demonstrated that running on sand produced higher tibialis anterior activity (p = 0.024; d = 0.28). Also, findings indicated larger loading rates (p = 0.004; d = 0.72) and greater vastus medialis (p < 0.001; d = 0.89) and rectus femoris (p = 0.001; d = 0.61) activities in OPF individuals. Controls but not OPF showed significantly lower gluteus-medius activity (p = 0.022; d = 0.63) when running on sand. Conclusion: Running on sand resulted in lower running speed and higher tibialis anterior activity during the loading phase. This may indicate alterations in neuromuscular demands in the distal part of the lower limbs when running on sand. In OPF individuals, higher loading rates together with greater quadriceps activity may constitute a proximal compensatory mechanism for distal surface instability.},
  language  = {en}
}
@article{JafarnezhadgeroFakhriGranacher2021,
  author    = {Jafarnezhadgero, Amir Ali and Fakhri, Ehsan and Granacher, Urs},
  title     = {Effects of nail softness and stiffness with distance running shoes on ground reaction forces and vertical loading rates in male elite long-distance runners with pronated feet},
  series = {BMC sports science, medicine \& rehabilitation},
  volume    = {13},
  journal   = {BMC sports science, medicine \& rehabilitation},
  publisher = {BioMed Central},
  address   = {London},
  issn      = {2052-1847},
  doi       = {10.1186/s13102-021-00352-7},
  pages     = {1 -- 9},
  year      = {2021},
  abstract  = {Background To improve propulsion during running, athletes often wear spike shoes designed for training and/or competition. Running with spike shoes may cause pain and/or injuries. To address this problem, a modified spike shoe was tested. This study aimed to evaluate the effects of running with dual-versus single-stiffness spike running shoes on running mechanics in long-distance runners with pronated feet. Methods Sixteen male elite (national competitive level) runners (5000 or 10,000 m) aged 28.2 ± 2.5 years with pronated feet volunteered to participate in this study. To be included, participants had to have achieved personal best race times over 5- and/or 10-km races under 17 or 34 min during official running competitions. All participants were heel strikers and had a history of 11.2 ± 4.2 years of training. For the assessment of running kinetics, a force plate was imbedded into a walkway. Running kinematics were recorded using a Vicon-motion-capture system. Nike Zoom Rival shoes (Nike, Nike Zoom Rival, USA) were selected and adapted according to spike softness and stiffness. Participants ran at a constant speed of ~4.0 m/s across the walkway with both shoe conditions in randomized order. Six trials were recorded per condition. The main outcomes included peak ground reaction forces and their time-to-peak, average and instantaneous vertical loading rates, free moments, and peak ankle eversion angles. Results Paired t-tests revealed significantly lower lateral (p = 0.021, d = 0.95) and vertical (p = 0.010, d = 1.40) forces at heel contact during running with dual-stiffness spike shoes. Running with dual-stiffness spike shoes resulted in a significantly longer time-to-peak vertical (p = 0.004, d = 1.40) force at heel contact. The analysis revealed significantly lower average (p = 0.005, d = 0.46) and instantaneous (p = 0.021, d = 0.49) loading rates and peak negative free moment amplitudes (p = 0.016, d = 0.81) when running with dual-stiffness spike shoes. Finally, significantly lower peak ankle eversion angles were observed with dual-stiffness spike shoes (p < 0.001, d = 1.29). Conclusions Running in dual- compared with single-stiffness spike distance running shoes resulted in lower loading rates, free moment amplitudes, and peak ankle eversion angles of long-distance runners with pronated feet.},
  language  = {en}
}
@article{MohammadiHilfikerJafarnezhadgeroetal.2017,
  author    = {Mohammadi, Vahid and Hilfiker, Roger and Jafarnezhadgero, Amir Ali and Jamialahmadi, Shima and Ardakani, Mohammad Karimizadeh and Granacher, Urs},
  title     = {Relationship between training-induced changes in the star excursion balance test and the Y balance test in young male athletes},
  series = {Annals of applied sport science},
  volume    = {5},
  journal   = {Annals of applied sport science},
  number    = {3},
  publisher = {Annals applied sport science},
  address   = {Tehran},
  issn      = {2322-4479},
  doi       = {10.29252/acadpub.aassjournal.5.3.31},
  pages     = {31 -- 38},
  year      = {2017},
  abstract  = {Background. Dynamic balance is often assessed in athletes using either the Star Excursion Balance Test (SEBT) or the Y Balance Test (YBT). There is evidence that the results for the three common directions are not comparable. Thus, the question is open to debate as to which instrument is better suited to measure training-induced changes over time. Objectives. The aim of this study is to compare the changes in the SEBT and the YBT, measured before and after six weeks of balance and strength exercise programmes in young and healthy athletes. Methods. A total of 30 young male athletes aged 15-17 years participated in this study and were involved in a six-week combined training, including balance and strength exercise. During pre-and post-training periods, the SEBT and YBT were conducted in random order. Results. The comparison between the changes in the SEBT and YBT with a paired sample T-test showed a significant increase in PM (p=0.001) and PL reach directions (p=0.000). No differences were observed in the A reach direction (p=0.38). Conclusion. the responsiveness levels of the SEBT and YBT are similar is valid. Also, because of higher effect size value in the anterior direction in YBT compared with SEBT, this balance test could possibly be preferred in this direction for postural control evaluation.},
  language  = {en}
}
@article{MadadiShadJafarnezhadgeroZagoetal.2019,
  author    = {Madadi-Shad, Morteza and Jafarnezhadgero, Amir Ali and Zago, Matteo and Granacher, Urs},
  title     = {Effects of varus knee alignment on gait biomechanics and lower limb muscle activity in boys},
  series = {Gait \& posture},
  volume    = {72},
  journal   = {Gait \& posture},
  publisher = {Elsevier},
  address   = {Amsterdam},
  issn      = {0966-6362},
  doi       = {10.1016/j.gaitpost.2019.05.030},
  pages     = {69 -- 75},
  year      = {2019},
  abstract  = {Background: There is evidence that frontal plane lower limb malalignment (e.g., genu varus) is a risk factor for knee osteoarthritis development. However, only scarce information is available on gait biomechanics and muscle activity in boys with genu varus. Research question: To examine the effects of knee varus alignment on lower limb kinematics, kinetics and muscular activity during walking at self-selected speed in boys with genu varus versus healthy age-matched controls. Methods: Thirty-six boys were enrolled in this study and divided into a group of boys with genu varus (n = 18; age: 11.66 +/- 1.64 years) and healthy controls (n = 18; age: 11.44 +/- 1.78 years). Three-dimensional kinematics, ground reaction forces, loading rates, impulses and free moments of both limbs were recorded during five walking trials at self-selected speed. Surface electromyography was recorded for rectus femoris and vastus lateralis/medialis muscles. Results: No significant between-group differences were found for gait speed. Participants in the genu varus group versus controls showed larger peak knee flexion (p = 0.030; d = 0.77), peak knee adduction (p < 0.001; d = 1.63), and peak ankle eversion angles (p < 0.001; d = 2.06). Significantly higher peak ground reaction forces were found at heel contact (vertical [p = 0.002; d = 1.16] and posterior [p < 0.001; d = 1.63] components) and at push off (vertical [p = 0.010; d = 0.93] and anterior [p < 0.001; d = 1.34] components) for genu varus versus controls. Peak medial ground reaction force (p = 0.032; d = 0.76), vertical loading rate (p < 0.001; d = 1.52), anterior-posterior impulse (p = 0.011; d = 0.92), and peak negative free moment (p = 0.030; d = 0.77) were significantly higher in genu varus. Finally, time to reach peak forces was significantly shorter in genu varus boys compared with healthy controls (p < 0.01; d = 0.73-1.60). The genu varus group showed higher activities in vastus lateralis (p < 0.001; d = 1.82) and vastus medialis (p = 0.013; d = 0.90) during the loading phase of walking. Significance: Our study revealed genu varus specific gait characteristics and muscle activities. Greater knee adduction angle in genu varus boys may increase the load on the medial compartment of the knee joint. The observed characteristics in lower limb biomechanics and muscle activity could play a role in the early development of knee osteoarthritis in genu varus boys.},
  language  = {en}
}