Real-Time Biofeedback of Performance to Reduce Braking Forces Associated With Running-Related Injury: An Exploratory Study.
gait analysis
kinematics
kinetics
prevention (injury)
running
Journal
The Journal of orthopaedic and sports physical therapy
ISSN: 1938-1344
Titre abrégé: J Orthop Sports Phys Ther
Pays: United States
ID NLM: 7908150
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
pubmed:
12
12
2018
medline:
21
5
2020
entrez:
12
12
2018
Statut:
ppublish
Résumé
The high rate of running-related injury may be associated with increased peak braking forces (PBFs) and vertical loading rates. Gait retraining has been suggested by some experts to be an effective method to reduce loading parameters. To investigate whether PBF could be decreased following an 8-session gait retraining program among a group of female recreational runners and which self-selected kinematic strategies could achieve this decrease. In this exploratory study, 12 female recreational runners with high PBFs (greater than 0.27 body weight) completed an 8-session gait retraining program with real-time biofeedback of braking forces over the course of a half-marathon training program. Baseline and follow-up kinetics and kinematics were analyzed with a repeated-measures analysis of variance. There was an average reduction of 15% in PBF (-0.04 body weight; 95% confidence interval [CI]: -0.07, -0.02 body weight; P = .001; effect size, 0.62), accompanied by a 7% increase in step frequency (11.3 steps per minute; 95% CI: 1.8, 20.9 steps per minute; P = .024; effect size, 0.38) and a 6% decrease in step length (-5.5 cm; 95% CI: -9.9, -1.0 cm; P = .020; effect size, 0.40), from baseline to follow-up. The gait retraining program significantly reduced the PBF among a group of female recreational runners. This was achieved through a combination of increased step frequency and decreased step length. Furthermore, the modified gait pattern was incorporated into the runners' natural gait pattern by the completion of the program. Based on these results, the outlined gait retraining program should be further investigated to assess whether it may be an effective injury prevention strategy for recreational runners. This study was registered with ClinicalTrials.gov (NCT03302975). Prevention, level 4. J Orthop Sports Phys Ther 2019;49(3):136-144. Epub 7 Dec 2018. doi:10.2519/jospt.2019.8587.
Sections du résumé
BACKGROUND
BACKGROUND
The high rate of running-related injury may be associated with increased peak braking forces (PBFs) and vertical loading rates. Gait retraining has been suggested by some experts to be an effective method to reduce loading parameters.
OBJECTIVES
OBJECTIVE
To investigate whether PBF could be decreased following an 8-session gait retraining program among a group of female recreational runners and which self-selected kinematic strategies could achieve this decrease.
METHODS
METHODS
In this exploratory study, 12 female recreational runners with high PBFs (greater than 0.27 body weight) completed an 8-session gait retraining program with real-time biofeedback of braking forces over the course of a half-marathon training program. Baseline and follow-up kinetics and kinematics were analyzed with a repeated-measures analysis of variance.
RESULTS
RESULTS
There was an average reduction of 15% in PBF (-0.04 body weight; 95% confidence interval [CI]: -0.07, -0.02 body weight; P = .001; effect size, 0.62), accompanied by a 7% increase in step frequency (11.3 steps per minute; 95% CI: 1.8, 20.9 steps per minute; P = .024; effect size, 0.38) and a 6% decrease in step length (-5.5 cm; 95% CI: -9.9, -1.0 cm; P = .020; effect size, 0.40), from baseline to follow-up.
CONCLUSION
CONCLUSIONS
The gait retraining program significantly reduced the PBF among a group of female recreational runners. This was achieved through a combination of increased step frequency and decreased step length. Furthermore, the modified gait pattern was incorporated into the runners' natural gait pattern by the completion of the program. Based on these results, the outlined gait retraining program should be further investigated to assess whether it may be an effective injury prevention strategy for recreational runners. This study was registered with ClinicalTrials.gov (NCT03302975).
LEVEL OF EVIDENCE
METHODS
Prevention, level 4. J Orthop Sports Phys Ther 2019;49(3):136-144. Epub 7 Dec 2018. doi:10.2519/jospt.2019.8587.
Identifiants
pubmed: 30526232
doi: 10.2519/jospt.2019.8587
doi:
Banques de données
ClinicalTrials.gov
['NCT03302975']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM