Biomechanical running gait assessments across prevalent adolescent musculoskeletal injuries

Lempke, Alexandra F. DeJong; Whitney, Kristin E.; Collins, Sara E.; d’Hemecourt, Pierre A.; Meehan, William P.

doi:10.1016/j.gaitpost.2022.05.025

Cited by 10 publications

(7 citation statements)

References 43 publications

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“…[26][27][28] Previous studies have identified distinct gait patterns among adolescent runners compared to previous findings among adult runners, particularly with higher peak vertical ground reaction forces, 29 varying foot strike types, longer stride lengths, and decreased step lengths. 28,29 These innate biomechanical differences between adults and adolescents highlight the need to assess spatiotemporal (cadence, step length, step width, contact time), kinetic (peak vertical ground reaction forces), and kinematic measures (foot landing and rotation at initial contact) among younger runners with musculoskeletal injury. 28 Given the prevalence of ankle sprains among young athletes, specifically runners, [30][31][32] examining spatiotemporal, kinetic, and kinematic biomechanical profiles among those who have sustained LAS could lead to intervention efforts designed to mitigate long-term impairments following LAS.…”

Section: Introductionmentioning

confidence: 86%

“…However, it remains uncertain if these same adaptations would be apparent in an adolescent population due to key differences in motor control and development 26–28 . Previous studies have identified distinct gait patterns among adolescent runners compared to previous findings among adult runners, particularly with higher peak vertical ground reaction forces, 29 varying foot strike types, longer stride lengths, and decreased step lengths 28,29 . These innate biomechanical differences between adults and adolescents highlight the need to assess spatiotemporal (cadence, step length, step width, contact time), kinetic (peak vertical ground reaction forces), and kinematic measures (foot landing and rotation at initial contact) among younger runners with musculoskeletal injury 28 …”

Section: Introductionmentioning

confidence: 95%

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Running gait adaptations among adolescent runners with soft tissue impairments following lateral ankle sprains

Lempke

Meehan

Whitney

2023

PM&R

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BackgroundLateral ankle sprains (LAS) frequently lead to residual soft tissue impairments, often attributed to biomechanical dysfunction during movement.ObjectiveTo compare running biomechanics between adolescent runners with soft tissue pathologies following LAS (injured) and healthy runners (control) and between limbs.DesignRetrospective cohort study.SettingHospital‐affiliated sports injury prevention center.ParticipantsTwenty‐five adolescent runners with a history of LAS and current ankle impingement or tendinopathy (23 female, 2 male; age: 15 ± 2 years; body mass index [BMI]: 19.5 ± 2.5 kg/m2; symptom duration: 1.1 ± 0.9 years), and 23 healthy controls without any LAS history (19 female, 4 male; age: 15 ± 1 years; BMI: 19.2 ± 2.7 kg/m2) were included in this study.InterventionsAll participants completed a clinical gait assessment in which they ran at a self‐selected speed on a force‐plate instrumented treadmill, while two video cameras recorded two‐dimensional sagittal and coronal views.Main Outcome MeasuresFoot rotation, step width, contact time, and cadence were compared between groups and limbs (involved, uninvolved [or “better” for bilateral cases]) using a multivariate analysis of variance (MANOVA). Rearfoot landing and foot strike type were compared between groups and limbs using a chi‐square analysis.ResultsThe injured group had significantly increased step width (F = 4.71, p = .04; mean difference [MD] with SE: 1.5 [0.7] cm) compared to controls. The injured groups' involved limb had longer contact time (F = 4.62, p = .03; MDgroup: 12 [7] ms, MDlimb: 22 [11] ms) with more internal foot rotation (F = 14.60, p < .001; MDgroup: 2.2 [1.2] degrees, MDlimb: 4.2 [1.3] degrees) compared to controls and their contralateral limb. There were no significant differences for cadence (F = 2.43, p = .13; MD: 4 [3] steps/min), foot landing (X2 = 1.28, p = .53), or foot strike (X2 = 1.24, p = .54).ConclusionsSpatiotemporal and kinematic running adaptations may predispose young runners with initial LAS to secondary soft tissue dysfunction due to loss of stability from ligamentous structures and an overreliance on myotendinous control. Clinicians may consider targeting these maladaptations during gait‐training interventions.

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Section: Introductionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 95%

Running gait adaptations among adolescent runners with soft tissue impairments following lateral ankle sprains

Lempke

Meehan

Whitney

2023

PM&R

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“…As one of the biomechanical factors that are intuitive and easy to measure, the GRF is believed to be associated with overuse injuries in the lower limbs [22]. Another study explored the association between vGRF and running-related injuries and found that vGRF may be a risk factor for injuries in young runners [23]. It can be seen that biomechanical parameters play an irreplaceable role in predicting the risk of sports injuries and have been proven effective in many fields of injury risk prediction and assessment but have not yet been applied to the safety monitoring of firefighter training.…”

Section: Introductionmentioning

confidence: 99%

The Injury Risk Prediction of Firefighters with Biomechanical Parameters during Single- and Double-Leg Jumps

Zhang,

Tao,

Chen

et al. 2024

Applied Sciences

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The incidence of knee injuries during firefighter training is high, but there is a lack of research on predictive factors and risk assessment for such injuries. Biomechanical assessments can provide a better understanding of how the body’s load changes during exercise, which may alter the risk of injury. Ten firefighters were recruited for our study. Each participant completed the FMS test and the single- and double-leg jump tasks. Motion information was collected and musculoskeletal models of the participants were constructed using OpenSim 4.4 to obtain the joint angle and joint moment. The peak GRF and CoM-CoP angle were also calculated. The findings showed a significantly larger PKFM (p = 0.0195), VAFM (p = 0.0039), and peak AP GRF (p = 0.0039) during the single-leg jump. The opposite performance was observed for KFA (p = 0.0098) and MPA (p = 0.0273). A stepwise multiple linear regression analysis was used to explore the relationship between these parameters and both the FMS score and the times of injuries. The risk of injury is higher in the single-leg jump compared to the double-leg jump. The biomechanical parameters of these two jumps can be used to assess sports injuries and to provide methods and references for injury risk monitoring during firefighter occupational training.

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“…Musculoskeletal injuries are common occurrences during physical exercise, especially among people with a low level of training [1][2][3][4]. Furthermore, different sports have a specific movement pattern that can estimate the risk of injury for athletes.…”

Section: Introductionmentioning

confidence: 99%

Pilot Study: The Relationship between Foot Posture and Movement Quality in Non-Professional Male Football Players

Algaba-Del-Castillo,

Castro-Méndez,

Pérez-Belloso

et al. 2023

Life

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(1) Background: This study focusses on establishing the relationship between quality of movement (based on the functional movement screen, or FMS) and foot posture (based on the foot posture index, or FPI-6). We hypothesised that a poor FMS test score may be derived from the foot position in the space measured by FPI-6. (2) Methods: a quasi-experimental and cross-sectional study was designed to analyse foot posture in 30 healthy football players, using the foot posture index and the functional movement screen. (3) Results: No significant relationships were found between movement quality and foot posture. Poor movement quality is present in more than half of all foot positions, supination, pronation, and neutral. Good quality seems to be more associated with a neutral foot position (23.3%) and supinated (16.6%) than a pronated foot position (6.6%). (4) Conclusions: this study found no relationship between the two tests; therefore, we cannot demonstrate that foot posture is relevant in the quality of the movement of the football players studied.

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Biomechanical running gait assessments across prevalent adolescent musculoskeletal injuries

Cited by 10 publications

References 43 publications

Running gait adaptations among adolescent runners with soft tissue impairments following lateral ankle sprains

Running gait adaptations among adolescent runners with soft tissue impairments following lateral ankle sprains

The Injury Risk Prediction of Firefighters with Biomechanical Parameters during Single- and Double-Leg Jumps

Pilot Study: The Relationship between Foot Posture and Movement Quality in Non-Professional Male Football Players

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