Forefoot Strikers Exhibit Lower Running-Induced Knee Loading than Rearfoot Strikers

Kulmala, Juha-Pekka; Avela, Janne; Pasanen, Kati; Parkkari, Jari

doi:10.1249/mss.0b013e31829efcf7

Cited by 240 publications

(263 citation statements)

References 32 publications

Supporting

Mentioning

215

Contrasting

Unclassified

Order By: Relevance

“…Reduced work at the knee joint might have resulted from the increased stride rate and strike index that occurred when using minimalist shoes. Researchers 29,30 have demonstrated that running with an increased stride rate or an FF decreases knee-joint contact forces. Therefore, minimalist shoes could be used to reduce the risk of injury at the knee, which is one of the most commonly injured joints in running, 9 by facilitating an MF and increased stride rate.…”

Section: Discussionmentioning

confidence: 99%

Redistribution of Mechanical Work at the Knee and Ankle Joints During Fast Running in Minimalist Shoes

Fuller

Buckley

Tsiros

et al. 2016

Journal of Athletic Training

View full text Add to dashboard Cite

Context: Minimalist shoes have been suggested as a way to alter running biomechanics to improve running performance and reduce injuries. However, to date, researchers have only considered the effect of minimalist shoes at slow running speeds.Objective: To determine if runners change foot-strike pattern and alter the distribution of mechanical work at the knee and ankle joints when running at a fast speed in minimalist shoes compared with conventional running shoes.Design: Crossover study. Setting: Research laboratory.Patients or Other Participants: Twenty-six trained runners (age ¼ 30.0 6 7.9 years [age range, 18À40 years], height ¼ 1.79 6 0.06 m, mass ¼ 75.3 6 8.2 kg, weekly training distance ¼ 27 6 15 km) who ran with a habitual rearfoot foot-strike pattern and had no experience running in minimalist shoes.Intervention(s): Participants completed overground running trials at 18 km/h in minimalist and conventional shoes.Main Outcome Measure(s): Sagittal-plane kinematics and joint work at the knee and ankle joints were computed using 3-dimensional kinematic and ground reaction force data. Footstrike pattern was classified as rearfoot, midfoot, or forefoot strike based on strike index and ankle angle at initial contact.Results Conclusions: Running in minimalist shoes at a fast speed caused a redistribution of work from the knee to the ankle joint. This finding suggests that runners changing from conventional to minimalist shoes for short-distance races could be at an increased risk of ankle and calf injuries but a reduced risk of knee injuries.

show abstract

Section: Discussionmentioning

confidence: 99%

Redistribution of Mechanical Work at the Knee and Ankle Joints During Fast Running in Minimalist Shoes

Fuller

Buckley

Tsiros

et al. 2016

Journal of Athletic Training

View full text Add to dashboard Cite

show abstract

“…Kulmala et al 22 reported that a forefoot strike pattern resulted in a 14.6% reduction in peak PFJ stress compared to a rearfoot strike pattern. Bonacci et al 6 reported that barefoot running led to a 12% reduction in peak PFJ stress compared to shod running.…”

Section: Discussion Tmentioning

confidence: 99%

Sagittal Plane Trunk Posture Influences Patellofemoral Joint Stress During Running

Teng¹,

Powers²

2014

Journal of Orthopaedic & Sports Physical Therapy

109

View full text Add to dashboard Cite

Study Design Cross-sectional, repeated-measures. Objectives To examine the association between sagittal plane trunk posture and patellofemoral joint (PFJ) stress, and to determine whether modifying sagittal plane trunk posture influences PFJ stress during running. Background Patellofemoral pain is the most common injury among runners and is thought to be the result of elevated PFJ stress. While sagittal plane trunk posture has been shown to influence tibiofemoral joint mechanics, no study has examined the influence of trunk posture on PFJ kinetics. Methods Twenty-four asymptomatic recreational runners (12 women, 12 men) ran overground at a speed of 3.4 m/s under 3 trunk-posture conditions: self-selected, flexed, and extended. Trunk and knee kinematics, ground reaction forces, and electromyographic signals from selected lower extremity muscles were obtained. A previously described PFJ biomechanical model was used to quantify PFJ stress. Results The mean ± SD trunk flexion angles under the self-selected, flexed, and extended running conditions were 7.3° ± 3.6°, 14.1° ± 4.8°, and 4.0° ± 3.9°, respectively. A significant inverse relationship was observed between mean trunk flexion angle and peak PFJ stress during the self-selected condition (r = −0.60, P = .002). Peak PFJ stress was significantly lower in the flexed condition (mean ± SD, 20.2 ± 3.4 MPa; P<.001) and significantly higher in the extended condition (23.1 ± 3.4 MPa; P<.001) compared to the self-selected condition (21.5 ± 3.2 MPa). Conclusion Sagittal plane trunk posture has a significant influence on PFJ kinetics during running. Incorporation of a forward trunk lean may be an effective strategy to reduce PFJ stress during running. J Orthop Sports Phys Ther 2014;44(10):785–792. Epub 25 August 2014. doi:10.2519/jospt.2014.5249

show abstract

“…In addition, an association between running fatigue and magnitude of plantar pressure was suggested after short races with 400 m distance 9 . The increased loading in forefoot of 10 km runners may also suggest attention for training, as this pattern of loading can influence the development of patellofemoral pain syndrome 16 , which depends on the running technique 17 , and is a risk factor for ankle injuries such as ankle sprains 18 . Considering a regular involvement in running training, the persistence of changes after competition (up to 24 h after a prolonged running 19 ) suggest further attention to the foot health among athletes and coaches.…”

Section: Discussionmentioning

confidence: 99%

Influência da distância de corrida na pressão plantar

Rocha

Machado

Kunzler

et al. 2014

Rev. Bras. Cineantropom. Desempenho Hum.

View full text Add to dashboard Cite

-Running is a popular sport performed at different places and involving different distances and modalities. Long distance running promotes cumulative loading on joints and soft tissues that could determine important biomechanical alterations. A tool for assessing such loads is the measurement of plantar pressure. Here we compared static plantar pressure before and after 10 km and 21 km running competitions. Twenty trained runners participated in this study. They were assigned to 10 km (n=10) or 21 km (n=10) group according to their competition distance. Static plantar pressure was assessed in the day before competition and quickly after competition finished. Mean plantar pressure was compared between pre and post competition, between groups, legs and foot regions. Static plantar pressure did not differ between feet in either groups. In 10 km runners, higher plantar pressure post competition was observed in the forefoot, while any changes were observed in the 21 km group. Differences in plantar pressure between foot regions were similar between groups. In summary, static assessment of plantar pressure seemed more sensitive to changes in plantar pressure after a 10 km running, but not after 21 km. After 10 km running, forefoot experiences higher plantar pressure. Key words: Foot; Injury; Kinetics; Running; Plantar sensitivity. Resumo -A corrida é um esporte popular praticado em vários locais e em diversas modalidades e distâncias. Corridas de longa distância promovem cargas cumulativas e repetidas

show abstract

Forefoot Strikers Exhibit Lower Running-Induced Knee Loading than Rearfoot Strikers

Cited by 240 publications

References 32 publications

Redistribution of Mechanical Work at the Knee and Ankle Joints During Fast Running in Minimalist Shoes

Redistribution of Mechanical Work at the Knee and Ankle Joints During Fast Running in Minimalist Shoes

Sagittal Plane Trunk Posture Influences Patellofemoral Joint Stress During Running

Influência da distância de corrida na pressão plantar

Contact Info

Product

Resources

About