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Foot strike pattern,step rate,and trunk posture combined gait modifications to reduce impact loading during running
Institution:1. State Key Laboratory of Mechanical System and Vibration, School of Mechanical Engineering, Shanghai Jiao Tong University, Shanghai 200240, China;2. Department of Physical Education, Shanghai Jiao Tong University, Shanghai 200240, China;3. Exercise Health and Technology Center, Department of Physical Education, Shanghai Jiao Tong University, Shanghai 200240, China;4. Department of Health Sciences, University of Jyväskylä, Jyväskylä 40014, Finland;5. Gait & Motion Analysis Laboratory, Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hung Hom, Hong Kong;1. Department of Physical Therapy, 380 Second Avenue, 4th Floor New York, New York 10010-5615, United States;2. Department of Orthopedic Surgery, NYU School of Medicine, NYU Langone Health, NYU Langone Orthopedic Hospital, 301 East 17th Street, New York, NY 10003, United States;1. Department of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Sha Tin, Hong Kong, China;2. Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China;3. School of Sport, Health and Wellbeing, Plymouth Marjon University, Derriford, Plymouth, United Kingdom;4. School of Health Sciences, Western Sydney University, Campbelltown Campus, Australia;1. Masters Program in Physiotherapy, Universidade Cidade de São Paulo (UNICID), Rua Cesário Galeno 448, Tatuapé, CEP 03071-000, São Paulo, SP, Brazil;2. São Paulo Running Injury Group (SPRunIG), São Paulo, Brazil;1. Department of Physical Therapy & Rehabilitation Sciences, Drexel University, Philadelphia, PA, United States;2. Department of Health & Sport Sciences, University of Memphis, Memphis, TN, United States;1. La Crosse Institute for Movement Science, Physical Therapy Program, Department of Health Professions, University of Wisconsin-La Crosse, La Crosse, USA;2. Department of Exercise and Sport Science, University of Wisconsin-La Crosse, La Crosse, USA;1. East Carolina University, Department of Physical Therapy, 2410E Health Sciences Building, Greenville, NC 27834, USA;2. Iowa State University, Department of Kinesiology, 249 Forker Building, Ames, IA 50011, USA
Abstract:Elevated impact loading can be detrimental to runners as it has been linked to the increased risk of tibial stress fracture and plantar fasciitis. The objective of this study was to investigate the combined effects of foot strike pattern, step rate, and anterior trunk lean gait modifications on impact loading in runners. Nineteen healthy runners performed 12 separate gait modification trials involving: three foot strike patterns (rearfoot, midfoot, and forefoot strike), two step rates (natural and 10% increased), and two anterior trunk lean postures (natural and 10-degree increased flexion). Overall, forefoot strike combined with increased step rate led to the lowest impact loading rates, and rearfoot strike combined with anterior trunk lean led to the highest impact loading rates. In addition, there were interaction effects between foot strike pattern and step rate on awkwardness and effort, such that it was both more natural and easier to transition to a combined gait modification involving forefoot strike and increased step rate than to an isolated gait modification involving either forefoot strike or increased step rate. These findings could help to inform gait modifications for runners to reduce impact loading and associated injury risks.
Keywords:Landing pattern  Cadence  Posture  Vertical loading  Distance runners
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