OBJECTIVE: To determine prospectively gait-related risk factors for lower leg overuse injury (LLOI). DESIGN: A prospective cohort study. SETTING: Male and female recruits from a start-to-run (STR) programme during a 10-week training period. PARTICIPANTS: 131 healthy subjects (20 men and 111 women), without a history of any lower leg complaint, participated in the study. INTERVENTIONS: Before the start of the 10-week STR programme, plantar force measurements during running were performed. During STR, lower leg injuries were diagnosed and registered by a sports physician. MAIN OUTCOME MEASURES: Plantar force measurements during running were performed using a footscan pressure plate. RESULTS: During the STR, 27 subjects (five men and 22 women) developed a LLOI. Logistic regression analysis revealed that subjects who developed a LLOI had a significantly more laterally directed force distribution at first metatarsal contact and forefoot flat, a more laterally directed force displacement in the forefoot contact phase, foot flat phase and at heel-off. These subjects also had a delayed change of the centre of force (COF) at forefoot flat, a higher force and loading underneath the lateral border of the foot, and a significantly higher directed force displacement of the COF at forefoot flat. CONCLUSIONS: These findings suggest that a less pronated heel strike and a more laterally directed roll-off can be considered as risk factors for LLOI. Clinically, the results of this study can be considered important in identifying individuals at risk of LLOI.
OBJECTIVE: To determine prospectively gait-related risk factors for lower leg overuse injury (LLOI). DESIGN: A prospective cohort study. SETTING: Male and female recruits from a start-to-run (STR) programme during a 10-week training period. PARTICIPANTS: 131 healthy subjects (20 men and 111 women), without a history of any lower leg complaint, participated in the study. INTERVENTIONS: Before the start of the 10-week STR programme, plantar force measurements during running were performed. During STR, lower leg injuries were diagnosed and registered by a sports physician. MAIN OUTCOME MEASURES: Plantar force measurements during running were performed using a footscan pressure plate. RESULTS: During the STR, 27 subjects (five men and 22 women) developed a LLOI. Logistic regression analysis revealed that subjects who developed a LLOI had a significantly more laterally directed force distribution at first metatarsal contact and forefoot flat, a more laterally directed force displacement in the forefoot contact phase, foot flat phase and at heel-off. These subjects also had a delayed change of the centre of force (COF) at forefoot flat, a higher force and loading underneath the lateral border of the foot, and a significantly higher directed force displacement of the COF at forefoot flat. CONCLUSIONS: These findings suggest that a less pronated heel strike and a more laterally directed roll-off can be considered as risk factors for LLOI. Clinically, the results of this study can be considered important in identifying individuals at risk of LLOI.
Authors: Maarten P van der Worp; Dominique S M ten Haaf; Robert van Cingel; Anton de Wijer; Maria W G Nijhuis-van der Sanden; J Bart Staal Journal: PLoS One Date: 2015-02-23 Impact factor: 3.240
Authors: Geoffrey J Dowling; George S Murley; Shannon E Munteanu; Melinda M Franettovich Smith; Bradley S Neal; Ian B Griffiths; Christian J Barton; Natalie J Collins Journal: J Foot Ankle Res Date: 2014-12-19 Impact factor: 2.303
Authors: Anna Zwierzchowska; Barbara Rosołek; Diana Celebańska; Krystyna Gawlik; Martyna Wójcik Journal: Int J Environ Res Public Health Date: 2020-04-06 Impact factor: 3.390
Authors: Dennis van Poppel; Maarten van der Worp; Anouk Slabbekoorn; Sylvia S P van den Heuvel; Marienke van Middelkoop; Bart W Koes; Arianne P Verhagen; Gwendolyne G M Scholten-Peeters Journal: J Sport Health Sci Date: 2020-06-12 Impact factor: 7.179