Deep-water running (DWR) is used as an adjunct to training and conditioning, and as an injury-rehabilitation technique. It is important for the physician or sports medicine practitioner to focus on the underlying physics and biomechanics of running in water in order to better produce the desired physiological, metabolic, and psychological outcomes. Deep-water running maximal heart rate and oxygen consumption values have been consistently shown to be lower than those found during treadmill running. However, recent evidence reveals that there is less of a difference between these maximal values relative to treadmill running and DWR with increased DWR experience. Submaximal values have been shown to be strikingly similar. The skill level of DWR technique, psychological comfort, perception of work, muscular recruitment patterns, and running kinematics are all affected by the physics (ie, temperature, buoyancy, hydrostatic pressure, specific gravity, and drag) of running in water. Therefore, the relationship between the biomechanics and the corollary practical physiological indicators of workload found in DWR must be factored into the appropriate prescription of training and conditioning workloads and rehabilitation protocols.

The purpose of this investigation was to identify a deep-water running (DWR) style that most closely approximates terrestrial running, particularly relative to the lower extremities. Twenty intercollegiate distance runners (women, N = 12; men, N = 8) were videotaped from the right sagittal view while running on a treadmill (TR) and in deep water at 55-60% of their TR VO(2)max using 2 DWR styles: cross-country (CC) and high-knee (HK). Variables of interest were horizontal (X) and vertical (Y) displacement of the knee and ankle, stride rate (SR), VO(2), heart rate (HR), and rating of perceived exertion (RPE). Multivariate omnibus tests revealed statistically significant differences for RPE (p < 0.001). The post hoc pairwise comparisons revealed significant differences between TR and both DWR styles (p < 0.001). The kinematic variables multivariate omnibus tests were found to be statistically significant (p < 0.001 to p < 0.019). The post hoc pairwise comparisons revealed significant differences in SR (p < 0.001) between TR (1.25 +/- 0.08 Hz) and both DWR styles and also between the CC (0.81 +/- 0.08 Hz) and HK (1.14 +/- 0.10 Hz) styles of DWR. The CC style of DWR was found to be similar to TR with respect to linear ankle displacement, whereas the HK style was significantly different from TR in all comparisons made for ankle and knee displacement. The CC style of DWR is recommended as an adjunct to distance running training if the goal is to mimic the specificity of the ankle linear horizontal displacement of land-based running, but the SR will be slower at a comparable percentage of VO(2)max.

No significant environment-speed interaction effects suggested that observed muscle-activity differences between ATM and TM were due to environmental variation, ie, buoyancy (presumed to decrease %MVC) and drag forces (presumed to increase aDUR and tACT) in the water.

The purpose of this investigation was to identify whether physiological exercise intensity differed with the use of aquatic training shoes (ATS) during deep-water running (DWR) compared to using a barefoot condition. Eight male intercollegiate (National Collegiate Athletic Association Division III [NCAA III]) varsity distance runners were videotaped from the right sagittal view while running on a treadmill (TR) and while barefoot in deep water at 60-70% of their TR VO2max for 30 minutes. Based on the stride rate of the barefoot DWR trial, a subsequent 30-minute session was completed while wearing ATS. Variables of interest were energy expenditure, oxygen consumption (VO2), heart rate, respiratory exchange ratio (RER), and rating of perceived exertion (RPE). Multivariate omnibus tests revealed statistically significant differences for energy expenditure (p < 0.011), VO2 (p < 0.001), RPE (p < 0.001), and RER (p < 0.002). The post hoc pairwise comparisons revealed significant differences between barefoot and shod DWR conditions for energy expenditure (p < 0.005) and VO2 (p < 0.002), representing a 9 and 7.6% increase in exercise intensity demand while running shod vs. barefoot. These comparisons also revealed significantly higher RPE and RER values while DWR than those found in TR. Wearing the ATS may be recommended as a method of statistically significantly increasing the exercise intensity while running in deep water as compared to not wearing a shoe. Shod compared to TR yields very small differences, which indicates that the shoes may help better match land-based running exercise intensities.

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