Abstract

Simple SummaryExcessive movements, or inadequate timing in movement patterns, during running may contribute to the development of some running-related injuries. Specifically, excessive movement at the rearfoot, influencing lower leg rotation, has been a focus on different running-related injuries. One method to change how the lower limbs move is to increase step rate, or cadence. There is little research available describing how the rearfoot is affected by changes in step rate; therefore, the primary purpose of this study was to evaluate the effects of increasing step rate on rearfoot motion during running. Reflective markers were placed on twenty runners’ lower legs and feet in order to capture leg and foot movements while running on a treadmill at the runners’ preferred speed and step rate. Step rate was increased by 5% and 10%, while runners were cued by a metronome. Three-dimensional rearfoot motion was calculated during the stance phase (foot in contact with the ground) of running. The main finding of this study was that increasing step rate decreased peak rearfoot and lower leg rotation. These findings may be useful for rehabilitation for some running-related injuries.Relatively high frontal and transverse plane motion in the lower limbs during running have been thought to play a role in the development of some running-related injuries (RRIs). Increasing step rate has been shown to significantly alter lower limb kinematics and kinetics during running. The purpose of this study was to evaluate the effects of increasing step rate on rearfoot kinematics, and to confirm how ground reaction forces (GRFs) are adjusted with increased step rate. Twenty runners ran on a force instrumented treadmill while marker position data were collected under three conditions. Participants ran at their preferred pace and step rate, then +5% and +10% of their preferred step rate while being cued by a metronome for three minutes each. Sagittal and frontal plane angles for the rearfoot segment, tibial rotation, and GRFs were calculated during the stance phase of running. Significant decreases were observed in sagittal and frontal plane rearfoot angles, tibial rotation, vertical GRF, and anteroposterior GRF with increased step rate compared with the preferred step rate. Increasing step rate significantly decreased peak sagittal and frontal plane rearfoot and tibial rotation angles. These findings may have implications for some RRIs and gait retraining.

Highlights

  • Greater frontal and transverse plane motion in the lower limbs during running have been thought to play a role in the development of some running-related injuries (RRIs) [1,2,3]

  • Peak rearfoot angles were significantly different between step rate conditions in all planes of motion (Table 2)

  • Increasing step rate significantly decreased the peak dorsiflexion angle at the +5% (p = 0.010) and +10% step (p = 0.001) rate conditions compared with the preferred condition

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Summary

Introduction

Greater frontal and transverse plane motion in the lower limbs during running have been thought to play a role in the development of some running-related injuries (RRIs) [1,2,3]. Tibial rotation has been shown to be coupled to motion at the rearfoot, because these segments are linked through the subtalar and talocrural axes [7,8]. A slightly supinated foot makes contact with the ground and the calcaneus everts as the subtalar joint begins to pronate, causing the talus to move medially and adduct, internally rotating the tibia due to the tight articulations between the subtalar, talocrural, and tibiotalar joints [1]. Once the foot moves into midstance, the foot begins to supinate and the knee extends to prepare for the foot leaving the ground, causing the tibia to externally rotate [1]

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