Introduction to running analysis in the clinical setting: A masterclass

Abstract

Running is a widely-adopted exercise modality, with relatively low financial barriers to access, and is associated with a host of health benefits. However, with this high participation rate, comes a high risk of running related injury (RRI)—with rates of up to 85 % being reported. There are many drivers of RRI such as training load, genetic and anthropometric factors, with biomechanical factors being an important consideration also. Traditionally, biomechanical gait analysis was only able to be performed in expensive specialised 3D gait laboratories. However, since the introduction of smart devices and apps, 2D gait analysis is now an accessible tool to any musculoskeletal clinician. Despite the high availability of these technologies in practice, there is currently a lack of resources for proper application and training in clinical gait analysis. Therefore, the aim of this masterclass is to provide an easy to understand, and apply guide to 2D biomechanical running analysis and running retraining in routine clinical practice. Implications for practice•Structured biomechanical analysis and running retraining can be used in the management of some RRIs.•Running retraining advice should often be given in conjunction with training load and exercise rehabilitation advice.•There is no evidence that prospectively changing an un-injured runner's biomechanics can have an influence on RRI development.•More research needs to be performed on the links between running kinematics and RRI.