Hopping kinetic differences in masters runners with and without Achilles tendinopathy

Achilles tendinopathy (AT) is the most common running-related pathology among masters runners. Previous evidence suggests there are no differences in submaximal running biomechanics between masters runners with and without AT. Evidence suggests lower extremity power deficits are common among ageing individuals and those with AT. The single-leg horizontal hop (SLHH) test is a valid and reliable lower extremity power test. The purpose of this study was to investigate differences in SLHH biomechanics between masters runners with and without AT. 32 masters runners age 50 and older with AT (60.31 ± 8.37, n = 16) and without (59.94 ± 4.95 n = 16) were included. 3D motion capture and force plates were used to assess hopping biomechanics. Masters runners with AT had significantly lower peak ankle plantarflexion positive power peak hip extensor positive power and peak hip extension moments compared to healthy controls. No differences in peak ankle plantarflexion moments and knee kinetics were observed between groups. Masters runners with AT demonstrate altered lower extremity biomechanics during the propulsive phase of the SLHH, suggesting they may not be able to appropriately generate forces and release stored energy from the Achilles tendon during maximal efforts.