Search Results (10)

Background: Technological innovation increasingly shapes modern sport, influencing performance, athlete safety, and regulatory governance. While new technologies enhance training and monitoring, they also raise concerns regarding fairness, health protection, and ethical legitimacy, commonly described as technological doping. The fragmented nature of the literature in this field requires integrative synthesis. Methods: A structured narrative synthesis was conducted using systematic searches and predefined eligibility criteria to identify studies addressing performance technologies, digital monitoring and detection systems, healthcare compliance, and governance and ethical frameworks. Twenty-four studies spanning empirical, policy, and conceptual domains were included. Results: Mechanical technologies, particularly advanced carbon-plate footwear, were associated with approximately 1–3% faster marathon performances and measurable alterations in lower-limb kinematics and kinetics under fatigue, while running-specific prostheses demonstrated performance-relevant differences in stiffness and energy return properties. Wearable monitoring systems supported training optimization but raised concerns related to surveillance and athlete autonomy. Artificial intelligence-based medication screening tools demonstrated high operational performance, with reported recognition accuracy ranging from approximately 92% to 98%, sensitivity approaching 1.00, and strong specificity for identifying prohibited substances from prescription images. Healthcare studies identified persistent knowledge gaps, medication risks, and the importance of pharmacists and education programs. Governance analyses revealed disparities in laboratory capacity and regulatory ambiguity when addressing emerging technologies, while ethical scholarship questioned the boundaries of legitimate enhancement. Conclusions: Technological doping reflects an interconnected performance–health–governance challenge rather than an isolated equipment issue. The synthesis demonstrates that technological doping is driven by measurable performance gains, digitally mediated compliance systems, and uneven regulatory capacity, indicating that future governance must shift from reactive equipment bans toward integrated, evidence-based oversight of biomechanical, digital, and healthcare technologies. Full article

Monitoring the activities of athletes with lower-limb amputations who use running-specific prostheses is essential for evaluating their training regimes, as well as the effectiveness and mechanical fatigue wear of their prostheses over time. Recent advancements in Inertial Measurement Units (IMUs) and activity detection algorithms offer new opportunities for objective assessment, but their application in Paralympic sports remains unexplored. The aims of this work were to design and implement an innovative protocol and analytical software for short-term and long-term activity detection of athletes with transtibial and transfemoral amputation and then test its validity on a sample of elite Paralympic runners and triathletes. Overall, the ability of the model to detect activities presented an accuracy of 98%, and the error in the stride counting for all activities fell within a 1% margin. Full article

(1) Background: Pediatric activity-specific prosthetic adaptations—such as running blades or cycling attachments—enable children’s participation in recreational activities, otherwise limited with daily use prostheses (DUPs). However, there is little information regarding their design, manufacturing process, and biomechanical performance. This review addresses this gap by systematically analyzing the current literature on upper and lower limb amputations, and offers a novel synthesis to inform future research. (2) Methods: A review of the literature published in English between 2005 and 2025 was conducted using databases such as PubMed, Scopus, Web of Science, and Google Scholar. We included studies focusing on amputation, prosthetics, and 3D printing. (3) Results: Running and cycling prostheses are among the most extensively studied in recent years. Comfort is reported as a key aspect for achieving an optimal outcome, and innovations in sockets align with biomechanical principles of amputation. However, high costs remain a significant barrier. (4) Conclusions: Advancements in design, material choices, and techniques, such as 3D printing (3DP), have been central to the development of novel activity-specific prostheses for children. However, the current literature focuses mainly on track sports and cycling. This, as well as the lack of accessible key information behind the development of these devices, showcases the present gap between the pediatric and adult research fields. Full article

Recent research in Paralympic biomechanics has offered opportunities for coaches, athletes, and sports practitioners to optimize training and performance, and recent systematic reviews have served to summarize the state of the evidence connecting biomechanics to Paralympic performance. This narrative review serves to provide a comprehensive and critical evaluation of the evidence related to biomechanics and Paralympic performance published since 2016. The main themes within this review focus on sport-specific body posture: the standing, sitting, and horizontal positions of current summer Paralympic sports. For standing sports, sprint and jump mechanics were assessed in athletes with cerebral palsy and in lower-limb amputee athletes using running-specific prostheses. Our findings suggest that running and jumping-specific prostheses should be ‘tuned’ to each athlete depending on specific event demands to optimize performance. Standing sports were also inclusive to athletes with visual impairments. Sitting sports comprise of athletes performing on a bike, in a wheelchair (WC), or in a boat. WC configuration is deemed an important consideration for injury prevention, mobility, and performance. Other sitting sports like hand-cycling, rowing, and canoeing/kayaking should focus on specific sitting positions (e.g., arm-crank position, grip, or seat configuration) and ways to reduce aero/hydrodynamic drag. Para-swimming practitioners should consider athlete-specific impairments, including asymmetrical anthropometrics, on the swim-start and free-swim velocities, with special considerations for drag factors. Taken together, we provide practitioners working in Paralympic sport with specific considerations on disability and event-specific training modalities and equipment configurations to optimize performance from a biomechanical perspective. Full article

As a whole, human sprinting seems to be a completely periodic and symmetrical motion. This view is changed when a person runs with a running-specific prosthesis after a unilateral amputation. The aim of our study is to investigate differences and similarities between unilateral below-knee amputee and non-amputee sprinters—especially with regard to whether asymmetry is a distracting factor for sprint performance. We established three-dimensional rigid multibody models of one unilateral transtibial amputee athlete and for reference purposes of three non-amputee athletes. They consist of 16 bodies (head, ipper, middle and lower trunk, upper and lower arms, hands, thighs, shanks and feet/running specific prosthesis) with 30 or 31 degrees of freedom (DOFs) for the amputee and the non-amputee athletes, respectively. Six DOFs are associated with the floating base, the remaining ones are rotational DOFs. The internal joints are equipped with torque actuators except for the prosthetic ankle joint. To model the spring-like properties of the prosthesis, the actuator is replaced by a linear spring-damper system. We consider a pair of steps which is modeled as a multiphase problem with each step consisting of a flight, touchdown and single-leg contact phase. Each phase is described by its own set of differential equations. By combining motion capture recordings with a least squares optimal control problem formulation including constraints, we reconstructed the dynamics of one sprinting trial for each athlete. The results show that even the non-amputee athletes showed less symmetrical sprinting than expected when examined on an individual level. Nevertheless, the asymmetry is much more pronounced in the amputee athlete. The amputee athlete applies larger torques in the arm and trunk joints to compensate the asymmetry and experiences a destabilizing influence of the trunk movement. Hence, the inter-limb asymmetry of the amputee has a significant effect on the control of the sprint movement and the maintenance of an upright body position. Full article

Knowledge of loads acting on running specific prostheses (RSP), and in particular on running prosthetic feet (RPF), is crucial for evaluating athletes’ technique, designing safe feet, and biomechanical modelling. The aim of this work was to develop a J-shaped and a C-shaped wearable instrumented running prosthetic foot (iRPF) starting from commercial RPF, suitable for load data collection on the track. The sensing elements are strain gauge bridges mounted on the foot in a configuration that allows decoupling loads parallel and normal to the socket-foot clamp during the stance phase. The system records data on lightweight athlete-worn loggers and transmits them via Wi-Fi to a base station for real-time monitoring. iRPF calibration procedure and static and dynamic validation of predicted ground-reaction forces against those measured by a force platform embedded in the track are reported. The potential application of this wearable system in estimating determinants of sprint performance is presented. Full article

The knowledge of loads acting on Running Specific Prostheses (RSP), and in particular, on Running Prosthetic Feet (RPF) is crucial for evaluating the athlete’s running technique, designing RPF, and developing models of the runners. The aim of this work was to develop a set of instrumented RPF (iRPF) suitable for track data collection of start, sprinting, and whole run-in and take-off of long jump. The system allows measuring with a portable data logger forces acting on the foot clamp on multiple steps of the athlete without modifying the RSP behavior: The method involves strain gauge bridges applied to each RPF in a configuration that allows decoupling the loads parallel and normal to the foot clamp during the stance phase. Comparison with literature data and validation against force platform data gave confirmation of the validity of the method in the estimation of determinants of sprint performance. Full article

Stiffness properties of running specific prostheses (RSP) for Paralympic runners are fundamental in the selection of the optimal running prosthetic foot (RPF) for sprint and jump events, depending on the athlete’s anthropometry and characteristics. RPFs are J-shaped or C-shaped, clamped to the socket or the pylon of the prosthetic leg. The aim of this work was to develop a test bench suitable for the static and dynamic characterization of a running prosthetic feet (RPF). Based on the evidence that the ground reaction force components change their relative orientation to the pylon or socket during the stance, loads were resolved in the socket reference frame and a multi-component test bench was designed and constructed. Two perpendicular actuators can apply static and dynamic loads to the foot while contacting a surrogate ground inclined at different angles. The preliminary tests show how the alignment, load combination, and ground angle can affect RPF stiffness curves. Full article

The objective of this study was to evaluate rebound characteristics for running-specific prostheses by quantifying their dynamic behavior by an impact experiment. The impact experiment was conducted to produce a typical ground foot strike contact, and to obtain the dynamic behavior of blades during and after impact. The motion of the impactor and displacement of the blade was quantified by tracking markers attached to the surface of the impactor and blade using the digital image correlation method. Impact load was also calculated using the history of acceleration. An average spring stiffness, which was obtained by dividing the maximum impact load by its displacement, was proposed to evaluate the rebound characteristics for prostheses. As a result, the difference between the types of blades can be observed using the proposed stiffness and velocity ratio. This relationship indicates that the stiffness and the ratio may have the potential to be applicable to evaluate the performance of blades. Full article

Usage of carbon fiber reinforced plastics (CFRPs) in running-specific prostheses increases day by day. The tailorable properties of CFRP blades bring many discussions about design and performance. In this study, the effect of shape on performance is investigated through force-displacement characteristics of the prosthesis. For this purpose, the geometry of prosthesis is defined by using B-splines with an initially given thickness. The prosthesis is exposed to vertical tip load at the mounting point, and contact is defined between the prosthesis and ground without friction. The aim of the simulation is to observe the contact behavior of athletes at different positions during the contact phase of a prosthesis. While the prosthesis is in contact with the ground, two different behaviors are observed: compression occurs at a larger contact zone, whereas release occurs at a smaller contact region (almost only the tip of the prosthesis). Different force-displacement characteristics, such as linear and second order, are obtained and the geometry of the prosthesis is optimized to adjust the behavior in the first region. The releasing phase of a prosthesis is related to the contact angle (angle of attack) and stiffness of the prosthesis. The two phases of contact are combined into a non-linear spring-mass system. Ground reaction forces are estimated through the non-linear mass-spring system. Finally, the importance of contacting area, length of moment arm during contact, and effect of each type of force-displacement characteristics on performance is discussed. Full article