Abstract
Purpose
The purpose of this study was to explore how compression stockings affect the energetics and biomechanics during walking.
Methods
Sixteen male adults participated in this study. Participants completed walking trials on the treadmill and force plates, wearing compression stockings (CS) or nothing as a control condition (CON). The data obtained included metabolic rate, muscle activation, step frequency and step length as well as their variability, joint kinematics and joint kinetics.
Results
The effect of compression stockings on metabolic rate was trivial (CS: 3.81 ± 0.44 W kg−1, CON: 3.83 ± 0.46 W kg−1, p = 0.84, d = 0.05). Activation of calf muscles, step frequency and step length as well as their variability, joint range of motion and joint powers did not show a significant difference between conditions (p = 0.09–0.90, d = 0.01–0.34). The peak knee extension moment during the early stance phase had a tendency to increase (CS: 0.57 ± 0.27 N m kg−1, CON: 0.51 ± 0.28 N m kg−1, p = 0.05, d = 0.19) while the peak knee flexion moment during the late swing phase had a tendency to decrease (CS: 0.16 ± 0.10 N m kg−1, CON: 0.19 ± 0.12 N m kg−1, p = 0.10, d = 0.21). The peak ankle dorsiflexion moment during the early stance phase significantly increased (CS: 0.11 ± 0.06 N m kg−1, CON: 0.08 ± 0.05 N m kg−1, p = 0.02, d = 0.58) while the peak ankle plantar flexion moment during the late swing phase significantly decreased (CS: 1.41 ± 0.12 N m kg−1, CON: 1.47 ± 0.14 N m kg−1, p = 0.02, d = 0.45).
Conclusions
Compression stockings have a limited effect on improving energetics of walking, but they may play a role in improving biomechanics by altering the relative contribution of knee and ankle moments to propulsion.
Similar content being viewed by others
Abbreviations
- CG:
-
Compression garment
- EMG:
-
Electromyography
- GL:
-
Gastrocnemius lateralis
- MVC:
-
Maximal voluntary contraction
- RER:
-
Respiratory exchange ratio
- RMS:
-
Root mean square
- ROM:
-
Range of motion
- SD:
-
Standard deviation
- SOL:
-
Soleus
- TA:
-
Tibialis anterior
References
Agu O, Baker D, Seifalian AM (2004) Effect of graduated compression stockings on limb oxygenation and venous function during exercise in patients with venous insufficiency. Vascular 12(1):69–76. https://doi.org/10.1258/rsmvasc.12.1.69
Ali A, Creasy RH, Edge JA (2010) Physiological effects of wearing graduated compression stockings during running. Eur J Appl Physiol 109(6):1017–1025. https://doi.org/10.1007/s00421-010-1447-1
Ali A, Creasy RH, Edge JA (2011) The effect of graduated compression stockings on running performance. J Strength Cond Res 25(5):1385–1392. https://doi.org/10.1519/JSC.0b013e3181d6848e
Areces F, Salinero JJ, Abian-Vicen J, González-Millán C, Ruiz-Vicente D, Lara B, Lledó M, Del Coso J (2015) The use of compression stockings during a marathon competition to reduce exercise-induced muscle damage: are they really useful? J Orthop Sports Phys Ther 45(6):462–470
Bartlett R (1999) Sports biomechanics: reducing injury and improving performance. Routledge
Barwood MJ, Corbett J, Feeney J, Hannaford P, Henderson D, Jones I, Kirke J (2013) Compression garments: no enhancement of high-intensity exercise in hot radiant conditions. Int J Sports Physiol Perform 8(5):527–535. https://doi.org/10.1123/ijspp.8.5.527
Bringard A, Perrey S, Belluye N (2006) Aerobic energy cost and sensation responses during submaximal running exercise-positive effects of wearing compression tights. Int J Sports Med 27(05):373–378
Broatch JR, Bishop DJ, Halson S (2018) Lower limb sports compression garments improve muscle blood flow and exercise performance during repeated-sprint cycling. Int J Sports Physiol Perform 13(7):882–890. https://doi.org/10.1123/ijspp.2017-0638
Brockway J (1987) Derivation of formulae used to calculate energy expenditure in man. Hum Nutr Clin Nutr 41(6):463–471
Brophy-Williams N, Driller MW, Kitic CM, Fell JW, Halson SL (2017) Effect of compression socks worn between repeated maximal running bouts. Int J Sports Physiol Perform 12(5):621–627. https://doi.org/10.1123/ijspp.2016-0162
Brophy-Williams N, Driller MW, Kitic CM, Fell JW, Halson SL (2019) Wearing compression socks during exercise aids subsequent performance. J Sci Med Sport 22(1):123–127. https://doi.org/10.1016/j.jsams.2018.06.010
Chatard J (1998) Elastic bandages, recovery and sport performance. Health Protective Text 2:79–84
Collins SH, Wiggin MB, Sawicki GS (2015) Reducing the energy cost of human walking using an unpowered exoskeleton. Nature 522(7555):212–215. https://doi.org/10.1038/nature14288
Conley DL, Krahenbuhl GS (1980) Running economy and distance running performance of highly trained athletes. Med Sci Sports Exerc 12(5):357–360
Dascombe BJ, Hoare TK, Sear JA, Reaburn PR, Scanlan AT (2011) The effects of wearing undersized lower-body compression garments on endurance running performance. Int J Sports Physiol Perform 6(2):160–173
de Britto MA, Lemos AL, dos Santos CS, Stefanyshyn DJ, Carpes FP (2017) Effect of a compressive garment on kinematics of jump-landing tasks. J Strength Cond Res 31(9):2480–2488. https://doi.org/10.1519/JSC.0000000000001620
De Luca CJ (1997) The use of surface electromyography in biomechanics. J Appl Biomech 13(2):135–163
Dean JC (1985) Kuo AD (2011) Energetic costs of producing muscle work and force in a cyclical human bouncing task. J Appl Physiol 110(4):873–880. https://doi.org/10.1152/japplphysiol.00505.2010
Del Coso J, Areces F, Salinero JJ, González-Millán C, Abián-Vicén J, Soriano L, Ruiz D, Gallo C, Lara B, Calleja-Gonzalez J (2014) Compression stockings do not improve muscular performance during a half-ironman triathlon race. Eur J Appl Physiol 114(3):587–595
Doan B, Kwon Y-H, Newton R, Shim J, Popper E, Rogers R, Bolt L, Robertson M, Kraemer W (2003) Evaluation of a lower-body compression garment. J Sports Sci 21(8):601–610. https://doi.org/10.1080/0264041031000101971
Driller MW, Halson SL (2013) The effects of wearing lower body compression garments during a cycling performance test. Int J Sports Physiol Perform 8(3):300–306
Duffield R, Portus M (2007) Comparison of three types of full-body compression garments on throwing and repeat-sprint performance in cricket players. Br J Sports Med 41(7):409–414. https://doi.org/10.1136/bjsm.2006.033753
Fu W, Liu Y, Zhang S, Xiong X, Wei S (2012) Effects of local elastic compression on muscle strength, electromyographic, and mechanomyographic responses in the lower extremity. J Electromyogr Kinesiol 22(1):44–50. https://doi.org/10.1016/j.jelekin.2011.10.005
Ghai S, Driller MW, Masters RS (2018) The influence of below-knee compression garments on knee-joint proprioception. Gait Posture 60:258–261. https://doi.org/10.1016/j.gaitpost.2016.08.008
Hermens HJ, Freriks B, Merletti R, Stegeman D, Blok J, Rau G, Disselhorst-Klug C, Hägg G (1999) European recommendations for surface electromyography. Roessingh Res Develop 8(2):13–54
Ibegbuna V, Delis KT, Nicolaides AN, Aina O (2003) Effect of elastic compression stockings on venous hemodynamics during walking. J Vasc Surg 37(2):420–425. https://doi.org/10.1067/mva.2003.104
Jakeman JR, Byrne C, Eston RG (2010) Lower limb compression garment improves recovery from exercise-induced muscle damage in young, active females. Eur J Appl Physiol 109(6):1137–1144. https://doi.org/10.1007/s00421-010-1464-0
Kang J, Chaloupka EC, Mastrangelo AM, Hoffman JR (2002) Physiological and biomechanical analysis of treadmill walking up various gradients in men and women. Eur J Appl Physiol 86(6):503–508. https://doi.org/10.1007/s00421-002-0583-7
Kemmler W, von Stengel S, Köckritz C, Mayhew J, Wassermann A, Zapf J (2009) Effect of compression stockings on running performance in men runners. J Strength Cond Res 23(1):101–105. https://doi.org/10.1519/JSC.0b013e31818eaef3
Kepple TM, Siegel KL, Stanhope SJ (1997) Relative contributions of the lower extremity joint moments to forward progression and support during gait. Gait Posture 6(1):1–8
Kraemer WJ, Bush JA, Bauer JA, Tripleft-McBride N, Paxton NJ, Clemson A, Koziris LP, Mangino LC, Fry AC, Newton RU (1996) Influence of compression garments on vertical jump performance in NCAA Division I volleyball players. J Strength Cond Res 10:180–183
Kurz E, Anders C (2018) Effects of wearing lower leg compression sleeves on locomotion economy. J Sports Sci 36(18):1–6. https://doi.org/10.1080/02640414.2018.1439355
Lucas-Cuevas A, Priego-Quesada J, Aparicio I, Giménez J, Llana-Belloch S, Pérez-Soriano P (2015) Effect of 3 weeks use of compression garments on stride and impact shock during a fatiguing run. Int J Sports Med 94(10):826–831. https://doi.org/10.1055/s-0035-1548813
Lucas-Cuevas ÁG, Priego Quesada JI, Giménez JV, Aparicio I, Cortell-Tormo JM, Pérez-Soriano P (2017) Can graduated compressive stockings reduce muscle activity during running? Res Q Exerc Sport 88(2):223–229
Martorelli SS, Martorelli AS, Pereira MC, Rocha-Junior VA, Tan JG, Alvarenga JG, Brown LE, Bottaro M (2015) Graduated compression sleeves: effects on metabolic removal and neuromuscular performance. J Strength Cond Res 29(5):1273–1278. https://doi.org/10.1519/JSC.0000000000000401
Miyamoto N, Hirata K, Mitsukawa N, Yanai T, Kawakami Y (2011) Effect of pressure intensity of graduated elastic compression stocking on muscle fatigue following calf-raise exercise. J Electromyogr Kinesiol 21(2):249–254. https://doi.org/10.1016/j.jelekin.2010.08.006
Mündermann A, Nigg BM, Humble RN, Stefanyshyn DJ (2003) Orthotic comfort is related to kinematics, kinetics, and EMG in recreational runners. Med Sci Sports Exerc 35(10):1710–1719
Orizio C (1992) Soundmyogram and EMG cross-spectrum during exhausting isometric contractions in humans. J Electromyogr Kinesiol 2(3):141–149
Rider BC, Coughlin AM, Hew-Butler TD, Goslin BR (2014) Effect of compression stockings on physiological responses and running performance in division III collegiate cross-country runners during a maximal treadmill test. J Strength Cond Res 28(6):1732–1738. https://doi.org/10.1519/JSC.0000000000000287
Šambaher N, Aboodarda SJ, Silvey DB, Button DC, Behm DG (2016) Effect of an ankle compression garment on fatigue and performance. J Strength Cond Res 30(2):326–335. https://doi.org/10.1519/Jsc.0000000000001011
Selinger JC, O'Connor SM, Wong JD, Donelan JM (2015) Humans can continuously optimize energetic cost during walking. Curr Biol 25(18):2452–2456. https://doi.org/10.1016/j.cub.2015.08.016
Stickford AS, Chapman RF, Johnston JD, Stager JM (2015) Lower-leg compression, running mechanics, and economy in trained distance runners. Int J Sports Physiol Perform 10(1):76–83. https://doi.org/10.1123/ijspp.2014-0003
Tarata MT (2003) Mechanomyography versus Electromyography, in monitoring the muscular fatigue. BioMed Eng Online 2(1):3. https://doi.org/10.1186/1475-925x-2-3
Treseler C, Bixby WR, Nepocatych S (2016) The effect of compression stockings on physiological and psychological responses after 5-km performance in recreationally active females. J Strength Cond Res 30(7):1985–1991
Varela-Sanz A, España J, Carr N, Boullosa DA, Esteve-Lanao J (2011) Effects of gradual-elastic compression stockings on running economy, kinematics, and performance in runners. J Strength Cond Res 25(10):2902–2910. https://doi.org/10.1519/JSC.0b013e31820f5049
Voloshina AS, Ferris DP (2015) Biomechanics and energetics of running on uneven terrain. J Exp Biol 218(5):711–719
Wakeling JM, Nigg BM (2001) Modification of soft tissue vibrations in the leg by muscular activity. J Appl Physiol 90(2):412–420
Wannop JW, Worobets JT, Madden R, Stefanyshyn DJ (2016) Influence of compression and stiffness apparel on vertical jump performance. J Strength Cond Res 30(4):1093–1101
Zamporri J, Aguinaldo A (2018) The effects of a compression garment on lower body kinematics and kinetics during a drop vertical jump in female collegiate athletes. Orthopaed J Sports Med 6(8):2325967118789955. https://doi.org/10.1177/2325967118789955
Acknowledgements
The authors would like to acknowledge all participants who volunteered to participate in the experiment. We also would like to render thanks to Di Hu, Yuyao Liu, Bo Huang, Xiaowei Xu, Chuang Liu and Zhiliang Xie for all their advice.
Funding
This work was supported by the National Natural Science Foundation of China under Grants 91648203, and Program of International Science and Technology Cooperation of China under Grant 2016YFE0113600.
Author information
Authors and Affiliations
Contributions
CX conceived and designed research. LC conducted experiments, analyzed data and wrote the manuscript. CX revised the manuscript. All authors read and approved the manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Communicated by Lori Ann Vallis.
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Cheng, L., Xiong, C. The effects of compression stockings on the energetics and biomechanics during walking. Eur J Appl Physiol 119, 2701–2710 (2019). https://doi.org/10.1007/s00421-019-04245-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00421-019-04245-z