Ventilatory and Perceived Ergogenic Effects of Mandibular Forward Repositioning During Running at Maximal Oxygen Uptake Intensity

Cardoso, F, Costa, MJ, Colaço, P, Vilas-Boas, JP, Pinho, JC, Pyne, DB, and Fernandes, RJ. Ventilatory and perceived ergogenic effects of mandibular forward repositioning during running at maximal oxygen uptake intensity. J Strength Cond Res 39(1): e13-e19, 2025-Wearing an intraoral dental splint may enhance ventilatory function and exercise performance. Nineteen runners performed on a 400-m outdoor track: (a) an incremental protocol to assess the velocity at maximal oxygen uptake (vV̇ o2 max) and (b) 2 square wave bouts wearing 2 intraoral splints (with and without mandibular forward repositioning). The time until exhaustion at vV̇ o2 max (TLimv V̇ o2 max), ventilatory variables, oxygen uptake (V̇ o2 ) kinetics, energetic profiling, perceived exertion and kinematics, were all measured. Ventilatory data were assessed breath-by-breath and perceived exertion evaluated using the Borg 6-20-point scale at the end of TLimv V̇ o2 max bouts. Images were recorded by video cameras (120 Hz) and kinematic measures retrieved using Kinovea. A paired t test was computed for comparison of splints ( p ≤ 0.05). With (vs. without) mandibular forward repositioning, runners increased their TLimv V̇ o2 max by ∼6% ( p = 0.03), coupled with higher ventilation (151 ± 22 vs. 147 ± 23 L·min -1 , p = 0.04), end-tidal oxygen tension (114.3 ± 3.7 vs. 112.9 ± 3.9 mm Hg, p = 0.003), and lower inspiratory time (0.526 ± 0.083 vs. 0.540 ± 0.090 seconds, p = 0.02), despite similar V̇ o2 kinetics (e.g., 49.0 ± 8.7 vs. 47.7 ± 8.6 ml∙kg∙min -1 of fast component amplitude) being observed. The energy expenditure was ∼8% higher ( p = 0.03) with the mandible forward, coupled with lower perceived exertion scores ( p = 0.04). Mandibular forward repositioning was effective in acutely improving running performance at vV̇ o2 max with ergogenic effects on ventilatory and perceived variables.