Impaired heel to toe progression during gait is related to reduced ankle range of motion in people with Multiple Sclerosis

Journal article


Psarakis, Michael, Greene, David, Moresi, Mark Peter, Baker, Michael Kevin, Stubbs, Peter, Brodie, Matthew, Lord, Stephen and Hoang, Phu. (2017) Impaired heel to toe progression during gait is related to reduced ankle range of motion in people with Multiple Sclerosis. Clinical Biomechanics. 49(November, 2017), pp. 96 - 100. https://doi.org/http://dx.doi.org/10.1016/j.clinbiomech.2017.08.012
AuthorsPsarakis, Michael, Greene, David, Moresi, Mark Peter, Baker, Michael Kevin, Stubbs, Peter, Brodie, Matthew, Lord, Stephen and Hoang, Phu
Abstract

Background: Gait impairment in people with Multiple Sclerosis results from neurological impairment, muscle weakness and reduced range of motion. Restrictions in passive ankle range of motion can result in abnormal heel-to-toe progression (weight transfer) and inefficient gait patterns in people with Multiple Sclerosis. The purpose of this study was to determine the associations between gait impairment, heel-to-toe progression and ankle range of motion in people with Multiple Sclerosis. Methods Twelve participants with Multiple Sclerosis and twelve healthy age-matched participants were assessed. Spatiotemporal parameters of gait and individual footprint data were used to investigate group differences. A pressure sensitive walkway was used to divide each footprint into three phases (contact, mid-stance, propulsive) and calculate the heel-to-toe progression during the stance phase of gait. Findings Compared to healthy controls, people with Multiple Sclerosis spent relatively less time in contact phase (7.8% vs 25.1%) and more time in the mid stance phase of gait (57.3% vs 33.7%). Inter-limb differences were observed in people with Multiple Sclerosis between the affected and non-affected sides for contact (7.8% vs 15.3%) and mid stance (57.3% and 47.1%) phases. Differences in heel-to-toe progression remained significant after adjusting for walking speed and were correlated with walking distance and ankle range of motion. Interpretation Impaired heel-to-toe progression was related to poor ankle range of motion in people with Multiple Sclerosis. Heel-to-toe progression provided a sensitive measure for assessing gaitimpairments that were not detectable using standard spatiotemporal gait parameters.

Keywordsankle rocker; electronic walkway; footprint; gait impairment; heel-toe sequence
Year2017
JournalClinical Biomechanics
Journal citation49 (November, 2017), pp. 96 - 100
ISSN0268-0033
Digital Object Identifier (DOI)https://doi.org/http://dx.doi.org/10.1016/j.clinbiomech.2017.08.012
Scopus EID2-s2.0-85028971112
Open accessOpen access
Page range96 - 100
Research GroupSports Performance, Recovery, Injury and New Technologies (SPRINT) Research Centre
Author's accepted manuscript
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Bradshaw, Elizabeth, Thomas, Kylie, Moresi, Mark, Greene, David, Braybon, Wendy, McGillivray, Kate and Andrew, Kylie. (2014) Biomechanical field test observations of gymnasts entering puberty. In K Sato, W Sands and S Mizuguchi (Ed.). ISBS - Conference Proceedings Archive. Germany: International Society of Biomechanics in Sports. pp. 349 - 352
Neuromuscular electrical stimulation cycling exercise for persons with advanced multiple sclerosis
Fornusek, Ché and Hoang, Phu. (2014) Neuromuscular electrical stimulation cycling exercise for persons with advanced multiple sclerosis. Journal of Rehabilitation Medicine. 46(7), pp. 698 - 702. https://doi.org/10.2340/16501977-1792
Bone health of apprentice jockeys using peripheral quantitative computed tomography
Greene, David, Naughton, Geraldine A., Jander, Caron and Cullen, Sarah-Jane. (2013) Bone health of apprentice jockeys using peripheral quantitative computed tomography. International Journal of Sports Medicine. 34(8), pp. 688 - 694. https://doi.org/10.1055/s-0032-1333213
Calcium and vitamin D supplementation on bone structural properties in peripubertal female identical twins
Greene, David. (2013) Calcium and vitamin D supplementation on bone structural properties in peripubertal female identical twins [Dataset].
Intra-limb variability and inter-limb asymmetry in gymnastics jump tests
Moresi, Mark Peter, Bradshaw, Elizabeth, Thomas, Kylie, Greene, David and Braybon, Wendy. (2013) Intra-limb variability and inter-limb asymmetry in gymnastics jump tests. In T-Y Shiang, W-H Ho and P C Huang & C L Tsai (Ed.). 31 International Conference on Biomechanics in Sports 2013. Taiwan: International Society of Biomechanics in Sports. pp. 1 - 5
Skeletal adaptations associated with pre-pubertal gymnastics participation as determined by DXA and pQCT : A systematic review and meta-analysis
Burt, Lauren, Greene, David, Ducher, Gaele and Naughton, Geraldine. (2013) Skeletal adaptations associated with pre-pubertal gymnastics participation as determined by DXA and pQCT : A systematic review and meta-analysis. Journal of Science and Medicine in Sport. https://doi.org/10.1016/j.jsams.2012.07.006
Relationship of leg stiffness measures during basic and sports specific movement tasks in high level netballers
Millett, Emma, Moresi, Mark Peter, Watsford, Mark, Taylor, Paul G. and Greene, David. (2013) Relationship of leg stiffness measures during basic and sports specific movement tasks in high level netballers. In T-Y Shiang, W Ho and P C Huang & C L Tsai (Ed.). 31 International Conference on Biomechanics in Sports 2013. Taiwan: International Society of Biomechanics in Sports. pp. 1 - 4
A systematic review of pre-surgical exercise intervention studies with cancer patients
Singh, Favil, Newton, U, Galvao, Daniel, Spry, Nigel and Baker, Michael. (2013) A systematic review of pre-surgical exercise intervention studies with cancer patients. Surgical Oncology. https://doi.org/10.1016/j.suronc.2013.01.004
Gymnastics participation is associated with skeletal benefits in the distal forearm : a 6-month study using peripheral Quantitative Computed Tomography
Burt, Lauren, Ducher, Gaele, Naughton, Geraldine, Courteix, Daniel and Greene, David. (2013) Gymnastics participation is associated with skeletal benefits in the distal forearm : a 6-month study using peripheral Quantitative Computed Tomography. The Journal of Musculoskeletal and Neuronal Interactions.
Long-term effects of intermittent androgren suppression therapy on lean and fat mass : a 33 month prospective study
Spry, Nigel, Taaffe, D R., England, P J., Judge, J S., Stephens, D A., Peddle-McIntyre, C, Baker, Michael, Newton, R and Galvao, Daniel. (2013) Long-term effects of intermittent androgren suppression therapy on lean and fat mass : a 33 month prospective study. Prostate Cancer and Prostatic Diseases. https://doi.org/10.1038/pcan.2012.33
Quantifying mechanical loading during training in track athletes
Moresi, Mark Peter, O'Meara, Damien and Graham, Kenneth. (2013) Quantifying mechanical loading during training in track athletes. In T Y Shiang, W H Ho and P C Huang & C L Tsai (Ed.). 31 International Conference on Biomechanics in Sports 2013. Taiwan: International Society of Biomechanics in Sports. pp. 1 - 5
Changes in insulin resistance and HbA1c are related to exercise-mediated changes in body composition in older adults with Type 2 Diabetes : Interim outcomes from the GREAT2DO trial
Mavros, Yorgi, Kay, Shelley, Anderberg, Kylie, Baker, Michael K., Wang, Yi, Zhao, Renru, Meiklejohn, Jacinda, Climstein, Mike, O'Sullivan, Anthony and De Vos, Nathan. (2013) Changes in insulin resistance and HbA1c are related to exercise-mediated changes in body composition in older adults with Type 2 Diabetes : Interim outcomes from the GREAT2DO trial. Diabetes Care. 36(8), pp. 2372 - 2379. https://doi.org/10.2337/dc12-2196
Lower limb musculoskeletal stiffness can predict overuse injuries in high level adolecsent female athletes
Moresi, Mark, Bradshaw, Elizabeth, Greene, David and Naughton, Geraldine. (2012) Lower limb musculoskeletal stiffness can predict overuse injuries in high level adolecsent female athletes. In E J Bradshaw, A Burnett and P A Hume (Ed.). 30th Conference of the International Society of Biomechanics in Sports. Australia: International Society of Biomechanics. pp. 175 - 178
Non-elite gymnastics participation is associated with greater bone strength, muscle size, and function in pre- and early pubertal girls
Burt, Lauren, Naughton, Geraldine, Greene, David and Courteix, Daniel. (2012) Non-elite gymnastics participation is associated with greater bone strength, muscle size, and function in pre- and early pubertal girls. Osteoporosis International. 23(4), pp. 1277 - 1286. https://doi.org/10.1007/s00198-011-1677-z
Mechanical loading with or without weight-bearing activity : Influence on bone strength index in elite female adolescent athletes engaged in water polo, gymnastics, and track-and-field
Greene, David, Naughton, Geraldine, Bradshaw, Elizabeth, Moresi, Mark and Ducher, Gaele. (2012) Mechanical loading with or without weight-bearing activity : Influence on bone strength index in elite female adolescent athletes engaged in water polo, gymnastics, and track-and-field. Journal of Bone and Mineral Metabolism. 30(5), pp. 580 - 587. https://doi.org/10.1007/s00774-012-0360-6
Sport-specific differences in hip joint kinetics during running gait in high level male athletes
O'Meara, Damien and Moresi, Mark. (2012) Sport-specific differences in hip joint kinetics during running gait in high level male athletes. 30th Conference of the International Society of Biomechanics in Sports. Australia: International Society of Biomechanics. pp. 18 - 21
Lower limb musculoskeletal stiffness can predict overuse injuries in high level adolecsent female athletes
Moresi, Mark Peter, Bradshaw, Elizabeth, Greene, David and Naughton, Geraldine A.. (2012) Lower limb musculoskeletal stiffness can predict overuse injuries in high level adolecsent female athletes. In E J Bradshaw, A Burnett and P A Hume (Ed.). 30th Conference of the International Society of Biomechanics in Sports. Australia: International Society of Biomechanics. pp. 175 - 178
Exercise prescriptions for patients with type 2 diabetes and pre-diabetes : A position statement from Exercise and Sports Science Australia
Hordern, Matthew, Dunstan, David, Prins, Johannes, Baker, Michael, Fiatarone Singh, Maria and Coombes, Jeff. (2012) Exercise prescriptions for patients with type 2 diabetes and pre-diabetes : A position statement from Exercise and Sports Science Australia. Journal of Science and Medicine in Sport. 15(1), pp. 25 - 31. https://doi.org/10.1016/j.jsams.2011.04.005
Sport-specific differences in hip joint kinetics during running gait in high level male athletes
O'Meara, Damien and Moresi, Mark Peter. (2012) Sport-specific differences in hip joint kinetics during running gait in high level male athletes. 30th Conference of the International Society of Biomechanics in Sports. Australia: International Society of Biomechanics. pp. 18 - 21
Passive mechanical properties of the gastrocnemius after spinal cord injury
Diong, Joanna, Herbert, Robert, Harvey, Lisa, Kwah, Li, Clark, Jillian, Hoang, Phu, Martin, Josh, Clarke, E, Bilston, L and Gandevia, S. (2012) Passive mechanical properties of the gastrocnemius after spinal cord injury. Muscle & Nerve. 46(2), pp. 237 - 245. https://doi.org/10.1002/mus.23356
Study of Mental Activity and Regular Training (SMART) in at risk individuals: A randomised double blind, sham controlled, longitudinal trial
Gates, Nicola, Valenzuela, Michael, Sachdev, Peminder, Singh, Nalin, Baune, Bernhard, Brodaty, Henry, Suo, Chao, Jain, Nidhi, Wilson, Guy, Wang, Yi, Baker, Michael, Williamson, Dominique, Foroughi, Nasim and Fiatarone Singh, Maria Antoinette. (2011) Study of Mental Activity and Regular Training (SMART) in at risk individuals: A randomised double blind, sham controlled, longitudinal trial. BMC Geriatrics. 11(19), pp. 19 - 33. https://doi.org/10.1186/1471-2318-11-19
Behavioral strategies in diabetes prevention programs :A systematic review of randomized controlled trials
Baker, Michael, Simpson, Kylie, Lloyd, Bradley, Bauman, Adrian and Fiatarone Singh, Maria. (2011) Behavioral strategies in diabetes prevention programs :A systematic review of randomized controlled trials. Diabetes Research and Clinical Practice. 91(1), pp. 1 - 12. https://doi.org/10.1016/j.diabres.2010.06.030
Lower limb muscle strengthening does not change frontal plane moments in women with knee osteoarthritis :A randomized controlled trial
Foroughi, Nasim, Smith, Richard, Lange, Angela, Baker, Michael, Fiatarone Singh, Maria and Vanwanseele, Benedicte. (2011) Lower limb muscle strengthening does not change frontal plane moments in women with knee osteoarthritis :A randomized controlled trial. Clinical Biomechanics. 26(2), pp. 167 - 174. https://doi.org/10.1016/j.clinbiomech.2010.08.011
A randomized controlled trial of whole body vibration exposure on markers of bone turnover in postmenopausal women
Turner, Sarah, Torode, Margaret Ellen, Climstein, Michael, Naughton, Geraldine, Greene, David, Baker, Michael and Fiatarone Singh, Maria. (2011) A randomized controlled trial of whole body vibration exposure on markers of bone turnover in postmenopausal women. Journal of Osteoporosis. 2011(1), pp. 1 - 10. https://doi.org/10.4061/2011/710387
Core self-evaluation as a predictor of strength training adoption in older adults
Baker, Michael, Kennedy, David, Bohle, Philip, Campbell, Deena, Wiltshire, James and Fiatarone Singh, Maria Antoinette. (2011) Core self-evaluation as a predictor of strength training adoption in older adults. Maturitas. 68(1), pp. 88 - 93. https://doi.org/10.1016/j.maturitas.2010.10.001
Efficacy and safety of a modular multi-modal exercise program in prostate cancer patients with bone metastases: a randomized controlled trial
Galvao, Daniel, Taaffe, D R, Cormie, P, Spry, Nigel, Chambers, Suzanne, Peddle-McIntyre, C, Baker, Michael, Denham, James, Joseph, David and Groom, Geoff. (2011) Efficacy and safety of a modular multi-modal exercise program in prostate cancer patients with bone metastases: a randomized controlled trial. BMC Cancer. 11(13), pp. 517 - 523. https://doi.org/10.1186/1471-2407-11-517
A systematic review and meta-analysis on the effect of aerobic vs. resistance exercise training on visceral fat
Ismail, I, Keating, S, Baker, Michael and Johnson, Nathan. (2011) A systematic review and meta-analysis on the effect of aerobic vs. resistance exercise training on visceral fat. Obesity Reviews. 13(1), pp. 68 - 91. https://doi.org/10.1111/j.1467-789X.2011.00931.x
Calcium and vitamin-D supplementation on bone structural properties in peripubertal female identical twins: A randomised controlled trial
Greene, David A. and Naughton, Geraldine A,. (2011) Calcium and vitamin-D supplementation on bone structural properties in peripubertal female identical twins: A randomised controlled trial. Osteoporosis International (print version). 22(2), pp. 489 - 498. https://doi.org/10.1007/s00198-010-1317-z
The assessment of adolescent female athletes using standing and reactive long jumps
Moresi, Mark Peter, Bradshaw, Elizabeth, Greene, David A. and Naughton, Geraldine A.. (2011) The assessment of adolescent female athletes using standing and reactive long jumps. Sports Biomechanics (print version). 10(2), pp. 73 - 84. https://doi.org/10.1080/14763141.2011.569564
Custom formed orthoses in cycling
O'Neill, Brendan, Graham, Kenneth, Moresi, Mark, Perry, Philip and Kuah, Donald. (2011) Custom formed orthoses in cycling. Journal of Science and Medicine in Sport. 14(6), pp. 529 - 534. https://doi.org/10.1016/j.jsams.2011.04.002
Musculoskeletal kinetic models to predict injury and performance in adolescent female athletes
Moresi, Mark Peter. (2011) Musculoskeletal kinetic models to predict injury and performance in adolescent female athletes [Thesis]. https://doi.org/10.4226/66/5a960e87c6850
Skeletal differences at the ulna and radius between pre-pubertal non-elite female gymnasts and non-gymnasts
Burt, Lauren A., Naughton, Geraldine A., Greene, David A. and Ducher, Gaele. (2011) Skeletal differences at the ulna and radius between pre-pubertal non-elite female gymnasts and non-gymnasts. The Journal of Musculoskeletal and Neuronal Interactions. 11(3), pp. 227 - 233.
Upper body bone strength in pre-pubertal, non-elite gymnasts and non-gymnasts
Burt, Lauren, Naughton, Geraldine, Greene, David and Ducher, Gaele. (2010) Upper body bone strength in pre-pubertal, non-elite gymnasts and non-gymnasts. Australian Conference of Science and Medicine in Sport. Australia: Elsevier. pp. 37 - 37
The relationship between knee adduction moment and cartilage and meniscus morphology in women with osteoarthritis
Vanwanseele, Benedicte, Eckstein, Felix, Smith, Richard, Lange, Angela, Foroughi, Nasim, Baker, Michael, Shnier, Ron and Fiatarone Singh, Maria Antoinette. (2010) The relationship between knee adduction moment and cartilage and meniscus morphology in women with osteoarthritis. Osteoarthritis and Cartilage. 18(7), pp. 894 - 901. https://doi.org/10.1016/j.joca.2010.04.006
Whole body vibration for preventing and treating osteoporosis (protocol)
Lorenzen, Christian, Naughton, Geraldine, Cameron, Lainie, Williams, Morgan and Greene, David. (2010) Whole body vibration for preventing and treating osteoporosis (protocol). Cochrane Database of Systematic Reviews.
Jump kinetics, bone health and nutrition in elite adolescent female athletes
Greene, David Anthony, Moresi, Mark Peter, Naughton, Geraldine Ann and Bradshaw, Elizabeth Jane. (2010) Jump kinetics, bone health and nutrition in elite adolescent female athletes. XXVIIIth International of Society of Bioemchanics in Sports Conference. USA: International Society of Biomechanics. pp. 191 - 194
Calcium and vitamin-D supplementation on bone structural properties in peripubertal female identical twins: A randomised controlled trial
Greene, David A. and Naughton, Geraldine A.. (2010) Calcium and vitamin-D supplementation on bone structural properties in peripubertal female identical twins: A randomised controlled trial. Osteoporosis International. 22(2), pp. 489 - 498. https://doi.org/10.1007/s00198-010-1317-z
Dynamic alignment and its association with knee adduction moment in medial knee osteoarthritis
Foroughi, Nasim, Smith, Richard, Lange, Angela, Baker, Michael, Fiatarone Singh, Maria and Vanwanseele, Benedicte. (2010) Dynamic alignment and its association with knee adduction moment in medial knee osteoarthritis. The Knee. 17(3), pp. 210 - 216. https://doi.org/10.1016/j.knee.2009.09.006
Effect of standing posture during whole body vibration training on muscle morphology and function in older adults: A randomised controlled trial
Mikhael, Monica, Orr, Rhonda, Amsen, Fleur, Greene, David and Fiatarone Singh, Maria. (2010) Effect of standing posture during whole body vibration training on muscle morphology and function in older adults: A randomised controlled trial. BMC Geriatrics. 10(74), pp. 1 - 13. https://doi.org/10.1186/1471-2318-10-74
Recreational gymnastics: strengthening the musculoskeletal system in young girls
Burt, Lauren, Naughton, Geraldine, Greene, David and Ducher, Gaele. (2010) Recreational gymnastics: strengthening the musculoskeletal system in young girls. American society for bone and mineral research annual meeting. United States of America: American Society for Bone and Mineral Research. pp. 15 - 15
Influence of drop-landing exercises on bone geometry and biomechanical properties in prepubertal girls: A randomized controlled study
Greene, David A., Wiebe, Peter N. and Naughton, Geraldine A.. (2009) Influence of drop-landing exercises on bone geometry and biomechanical properties in prepubertal girls: A randomized controlled study. Calcified Tissue International. 85(2), pp. 94 - 103. https://doi.org/10.1007/s00223-009-9253-7
Resistive exercise for arthritic cartilage health (REACH): A randomized double-blind, sham-exercise controlled trial
Lange, Angela K., Vanwanseele, Benedicte, Foroughi, Nasim, Baker, Michael Kevin, Shnier, Ronald C., Smith, Richard M. and Singh, Maria Fiatarone. (2009) Resistive exercise for arthritic cartilage health (REACH): A randomized double-blind, sham-exercise controlled trial. BMC Geriatrics. 9(1), pp. 1 - 10. https://doi.org/10.1186/1471-2318-9-1
Bone health and strength of elite female adolescent athletes engaged in water polo, gymnastics and track-and-field
Naughton, Geraldine and Greene, David. (2008) Bone health and strength of elite female adolescent athletes engaged in water polo, gymnastics and track-and-field [Dataset].
Explosive and reactive horizontal jump assessment: Reliability and validity for athletic populations
Moresi, Mark Peter, Greene, David Anthony, Bradshaw, Elizabeth Jane and Naughton, Geraldine Ann. (2008) Explosive and reactive horizontal jump assessment: Reliability and validity for athletic populations. In Young-Hoo Kwon, Jaeho Shim and Jae Kun Shim & In-Sik Shin (Ed.). XXVI International Conference on Biomechanics; in Sports. Seoul, Korea: Seoul National University. pp. 514 - 517
Obesity effects on depression: Systematic review of epidemiological studies
Atlantis, Evan and Baker, Michael Kevin. (2008) Obesity effects on depression: Systematic review of epidemiological studies. International Journal of Obesity. 32(6), pp. 881 - 891. https://doi.org/10.1038/ijo.2008.54
Multi-modal exercise programs for older adults
Baker, Michael, Atlantis, Evan and Fiatarone Singh, Maria. (2007) Multi-modal exercise programs for older adults. Age and Ageing. 36, pp. 375 - 381. https://doi.org/10.1093/ageing/afm054
Efficacy and feasibility of a novel tri-modal robust exercise prescription in a retirement community : A randomized, controlled trial
Baker, Michael, Kennedy, David, Bohle, Philip, Campbell, Deena, Knapman, Leona, Grady, Jodie, Wiltshire, James, McNamara, Maria, Evans, William and Fiatarone Singh, Maria. (2007) Efficacy and feasibility of a novel tri-modal robust exercise prescription in a retirement community : A randomized, controlled trial. Journal of the American Geriatrics Society. 55, pp. 1 - 10. https://doi.org/10.1111/j.1532-5415.2006.01031.x
Degenerative meniscus tears and mobility impairment in women with knee osteoarthritis
Lange, Angela, Fiatarone Singh, Maria, Smith, Richard, Foroughi, Nasim, Baker, Michael, Shnier, Ron and Vanwanseele, Benedicte. (2007) Degenerative meniscus tears and mobility impairment in women with knee osteoarthritis. Osteoarthritis and Cartilage. 15(6), pp. 701 - 708. https://doi.org/10.1016/j.joca.2006.11.004
Effect of a six-month training programme on the physical capacities of Romanian schoolchildren
Greene, David, Serbescu, Carmen, Flora, D., Hantiu, Iacob, Benhamou, Claude Laurent and Courteix, Daniel. (2006) Effect of a six-month training programme on the physical capacities of Romanian schoolchildren. Acta Paediatrica. 10(10), pp. 1258 - 1265. https://doi.org/10.1080/08035250600599719
A challenge to fitness testing in primary schools
Naughton, Geraldine, Greene, David and Carlson, John. (2006) A challenge to fitness testing in primary schools. Journal of Science and Medicine in Sport. 9(February), pp. 40 - 45. https://doi.org/10.1016/j.jsams.2006.01.002
Assessment of bone strength at differentially-loaded skeletal regions in adolescent middle-distance runners
Greene, David, Naughton, Geraldine, Briody, Julie, Kemp, Allan and Woodhead, Helen. (2006) Assessment of bone strength at differentially-loaded skeletal regions in adolescent middle-distance runners. Journal of Science and Medicine in Sport. 9(3), pp. 221 - 230. https://doi.org/10.1016/j.jsams.2006.03.030
Adaptive skeletal responses to mechanical loading during adolescence
Greene, David and Naughton, Geraldine A.. (2006) Adaptive skeletal responses to mechanical loading during adolescence. Sports Medicine. 36(9), pp. 723 - 732. https://doi.org/10.2165/00007256-200636090-00001
Bone and muscle geometry in female adolescent middle-distance runners
Greene, David, Naughton, Geraldine, Briody, Julie, Kemp, Allan and Woodhead, Helen. (2005) Bone and muscle geometry in female adolescent middle-distance runners. Pediatric Exercise Science. 17(4), pp. 377 - 389. https://doi.org/10.1123/pes.17.4.377
Exercise type, musculoskeletal health and injury risk factors in adolescent middle-distance runners
Greene, David. (2005) Exercise type, musculoskeletal health and injury risk factors in adolescent middle-distance runners [Thesis]. https://doi.org/10.4226/66/5a94b3b15e4b9
Bone strength index in adolescent girls: Does physical activity make a difference?
Greene, David, Naughton, Geraldine, Briody, Julie and Corrigan, L.. (2005) Bone strength index in adolescent girls: Does physical activity make a difference? British Journal of Sports Medicine. 39(9), pp. 622 - 627. https://doi.org/10.1136/bjsm.2004.014498