Friday, December 31, 12021 HE
Full disclosure, I am a licensed physical therapist, but the following is purely for informational purposes. For formal guidance concerning your stand up paddleboard (SUP) biomechanics, you should enlist the help of a qualified professional. If you are experiencing pain associated with stand up paddleboarding, you should seek out the aid of a licensed and qualified medical professional for a diagnosis. Pain associated with an activity is often musculoskeletal but can signal something more nefarious.
Stand up paddleboarding is a growing aquatic recreational and sporting activity. It is conceptualized most familiarly as a combination of modern surfing and paddle-based sports (Schram et al., 2019). In SUP, the rider balances on a board (~3–5 m long, ~1 m wide) and grips a single-bladed paddle (~2 m long) to propel themselves through the water (Schram et al., 2019). Stand up paddleboarding is easily accessible to most people since it requires minimal equipment and is easy to learn. It can be practiced on almost any body of water and provides a low impact, full-body physical challenge, suitable for all ages and skill levels. But like any activity, it is not without risk. A 2017 study by Furness et al. revealed that the shoulder/upper arm was the most frequently injured body location (32.9% of all injuries), followed by the lower back (14.3%), and the elbow/forearm (11.8%). In other paddling disciplines, sub-optimal stroke biomechanics are associated with injury. For anyone getting into paddling, particularly if you plan to participate in endurance paddling, attention to your stroke mechanics is a consideration of concern. Check out this post for general information on basic safety guidelines regarding SUP participation.
While modern SUP is seen through the lens of surfing and paddle-based sports, it has a long history dating back to well before these sports became popular. See the post and video below for more details.
The 2019 paper by Schram and colleagues lists some of the non-scientific sources on optimal paddling techniques for SUP both online as instructional videos and written guides. Anyone who wants to delve into the topic deeply should check out those sources. The following will be more of a general overview. And then, I will post more specific articles on the shoulder, lower back, and hip biomechanics.
Stand up paddleboarding is a full-body activity. And, like many sports, the development of force and power can be augmented by using more of the lower body via the lumbopelvic-hip complex (i.e., the hips, pelvis, and lower spine). The force developed from the lower body must then be transferred through the trunk to the upper limbs through the paddle and into the water to propel the board. The main finding from the Schram et al. (2019) paper was that experienced SUPers used less shoulder movement and more hip movement than inexperienced paddlers. A caveat to mention for the study is the biomechanics measured were on a KayakPro SUP ergometer. The device has been previously validated in other studies but is still not the same as a real-world evaluation.
The video below is supplementary material from the paper by Schram and colleagues (2019). It shows representative stroke mechanics for an experienced (left animation) and inexperienced (right animation) paddler. You can see that the experienced paddler is more fluid throughout their stroke. And their motion is much more of a full-body action. There is much more of a hinging action through the hips. This action results in a greater forward reach for the entry of the stroke. In addition, you can see how the rotation of the hips and torso also allows for more excursion. Also evident is the power transfer to the paddle in the drive or power phase of the stroke. The upper extremities actively force the blade down while the action of the lower extremities and hip complex is in unison to create a more powerful stroke. For the inexperienced paddler, on the right, you can see how the stroke is performed more with the upper extremities. There is minimal motion through the trunk and lower extremities.
Here is a small note on stroke phases. In the paper by Schram and colleagues (which is where the feature image for this post is from), they use a three-phase classification system: entry, drive, and exit. Another commonly used system uses a five-phase classification: reach, catch, power, release, and recovery (see this video from SUPBoarder for a great overview of the five-stroke phases). There is obvious overlap, with reach and catch combining as the entry in the five versus three-phase system, respectively. And, release and recovery are combined as the exit phase. Throughout this biomechanics series, I will use either where convenient. The five-phase system allows for more granularity.
The main finding from the study was that experienced paddlers used their hips more and their shoulders less. Intuitively this makes sense when the anatomy of the hips and shoulders are taken into consideration. Both the hips and shoulders are classified as ball-and-socket joints, but their anatomy is quite different. The size of the boney articulations involved is different. The femur at the hip is larger than the humerus at the shoulder. The hip is a deeper ball-and-socket that provides more inherent stability from an osteologic standpoint. The cavity at the hip, the acetabulum, is much deeper than the cavity at the shoulder, the glenoid fossa. In addition, the pelvic girdle is inherently more stable as both sides of the pelvis are articularly connected to the axial skeleton through a stable planar joint, the sacroiliac joint. Despite being a planar joint, the sacroiliac joint still possesses six degrees of freedom, meaning it has rotational and translational movement around and along all three cardinal axes. The shoulder girdle is only attached to the axial skeleton at the scapula via the clavicle at the sternoclavicular joint. The sternoclavicular joint is a saddle joint with two degrees of freedom. There is a pseudo-arthrosis between the scapula and thoracic cage, the scapulothoracic junction, but it is not a true articulation. Though, it does provide some stability to the girdle.
Beyond the osteologic differences, there are anatomical muscular differences, with the hip joint having much more muscular bulk. Many people are familiar with the rotator cuff of the shoulder. It is a group of four muscles that help keep the arm bone congruent with the socket of the shoulder blade. With joint congruency, the larger, multi-joint muscles of the shoulder can do their jobs of motion and force development more efficiently. An apt adage from the strength and conditioning world is that you can’t fire a cannon out of a canoe. That is, if you are trying to generate motion or power from an unstable base of support, the conditions are suboptimal. The hip socket also has a rotator cuff, which depending on the source, is the six deep hip rotators or will also include some of the gluteal complex (i.e., gluteus minimus and gluteus medius). In both cases having adequate arthrokinematic stability from the joint cuffs allows for more motion and power at the osteokinematic level.
Bringing this back to SUP, for power, speed, and efficiency, the longer, more powerful, and faster the stroke is, the faster and more powerful the vessel will be. Though, there are trade-offs between these variables. A paddler that can get a longer stroke can pull more water per stroke. A greater range of motion at the hips allows for this to happen. And utilizing the larger muscles of the pelvis and trunk to apply force to the water is more efficient for the power developed and energy metabolism. This reason is why experience paddlers exhibit less upper body motion. By using their upper appendages as rigid extensions of their hips and trunks, experienced paddlers can transfer force to the water more efficiently.
For more on the specific biomechanics of the shoulder and hip joints, stay tuned for future posts…