Jason Bonacci1, Michelle Hall2, Aaron Fox3, Natalie Saunders3, Tristan Shipsides4, Bill Vicenzino5. 1. Centre for Sports Research, School of Exercise and Nutrition Sciences, Deakin University, Australia. Electronic address: jason.bonacci@deakin.edu.au. 2. Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, University of Melbourne, Australia. 3. Centre for Sports Research, School of Exercise and Nutrition Sciences, Deakin University, Australia. 4. Olympic Park Sports Medicine Centre, Australia. 5. University of Queensland, School of Health and Rehabilitation Sciences: Physiotherapy, Australia.
Abstract
OBJECTIVES: To determine the effect of a combination of a minimalist shoe and increased cadence on measures of patellofemoral joint loading during running in individuals with patellofemoral pain. DESIGN: Within-participant repeated measures with four conditions presented in random order: (1) control shoe at preferred cadence; (2) control shoe with +10% cadence; (3) minimalist shoe at preferred cadence; (4) minimalist shoe with +10% cadence. METHODS: Fifteen recreational runners with patellofemoral pain ran on an instrumented treadmill while three-dimensional motion capture data were acquired. Peak patellofemoral joint stress, joint reaction force, knee extensor moment and knee joint angle during the stance phase of running were calculated. One-way repeated measures ANOVA was used to compare the control condition (1) to the three experimental conditions (2-4). RESULTS: Running in a minimalist shoe at an increased cadence reduced patellofemoral stress and joint reaction force on average by approximately 29% (p<0.001) compared to the control condition. Running in a minimalist shoe at preferred cadence reduced patellofemoral joint stress by 15% and joint reaction force by 17% (p<0.001), compared to the control condition. Running in control shoes at an increased cadence reduced patellofemoral joint stress and joint reaction force by 16% and 19% (p<0.001), respectively, compared to the control condition. CONCLUSIONS: In individuals with patellofemoral pain, running in a minimalist shoe at an increased cadence had the greatest reduction in patellofemoral joint loading compared to a control shoe at preferred cadence. This may be an effective intervention to modulate biomechanical factors related to patellofemoral pain.
OBJECTIVES: To determine the effect of a combination of a minimalist shoe and increased cadence on measures of patellofemoral joint loading during running in individuals with patellofemoral pain. DESIGN: Within-participant repeated measures with four conditions presented in random order: (1) control shoe at preferred cadence; (2) control shoe with +10% cadence; (3) minimalist shoe at preferred cadence; (4) minimalist shoe with +10% cadence. METHODS: Fifteen recreational runners with patellofemoral pain ran on an instrumented treadmill while three-dimensional motion capture data were acquired. Peak patellofemoral joint stress, joint reaction force, knee extensor moment and knee joint angle during the stance phase of running were calculated. One-way repeated measures ANOVA was used to compare the control condition (1) to the three experimental conditions (2-4). RESULTS: Running in a minimalist shoe at an increased cadence reduced patellofemoral stress and joint reaction force on average by approximately 29% (p<0.001) compared to the control condition. Running in a minimalist shoe at preferred cadence reduced patellofemoral joint stress by 15% and joint reaction force by 17% (p<0.001), compared to the control condition. Running in control shoes at an increased cadence reduced patellofemoral joint stress and joint reaction force by 16% and 19% (p<0.001), respectively, compared to the control condition. CONCLUSIONS: In individuals with patellofemoral pain, running in a minimalist shoe at an increased cadence had the greatest reduction in patellofemoral joint loading compared to a control shoe at preferred cadence. This may be an effective intervention to modulate biomechanical factors related to patellofemoral pain.
Authors: Harvi F Hart; K Douglas Gross; Kay M Crossley; Christian J Barton; David T Felson; Ali Guermazi; Frank Roemer; Neil A Segal; Cora E Lewis; Michael C Nevitt; Joshua J Stefanik Journal: Arthritis Care Res (Hoboken) Date: 2020-01 Impact factor: 4.794