Background:Foot kinematics,such as excessive eversion and malalignment of the hindfoot,are believed to be associated with running-related injuries.The maj ority of studies to date show that different foot strike patte...Background:Foot kinematics,such as excessive eversion and malalignment of the hindfoot,are believed to be associated with running-related injuries.The maj ority of studies to date show that different foot strike patterns influence these specific foot and ankle kinematics.However,technical deficiencies in traditional motion capture approaches limit knowledge of in vivo joint kinematics with respect to rearfoot and forefoot strike patterns(RFS and FFS,respectively).This study uses a high-speed dual fluoroscopic imaging system(DFIS)to determine the effects of different foot strike patterns on 3D in vivo tibiotalar and subtalar joints kinematics.Methods:Fifteen healthy male recreational runners underwent foot computed tomography scanning for the construction of 3-dimensional models.A high-speed DFIS(100 Hz)was used to collect 6 degrees of freedom kinematics for participants’tibiotalar and subtalar joints when they adopted RFS and FFS in barefoot condition.Results:Compared with RFS,FFS exhibited greater internal rotation at 0%-20%of the stance phase in the tibiotalar joint.The peak internal rotation angle of the tibiotalar joint under FFS was greater than under RFS(p<0.001,Cohen’s d=0.92).RFS showed more dorsiflexion at 0%-20%of the stance phase in the tibiotalar joint than FFS.RFS also presented a larger anterior translation(p<0.001,Cohen’s d=1.28)in the subtalar joint at i nitial contact than FFS.Conclusion:Running with acute barefoot FFS increases the internal rotation of the tibiotalar joint in the early stance.The use of high-speed DFIS to quantify the movement of the tibiotalar and subtalar joint was critical to revealing the effects of RF S and FFS during running.展开更多
Background:Investigations of running gait among barefoot and populations have revealed a diversity of foot strike behaviors,with some preferentially employing a rearfoot strike(RFS) as the foot touches down while othe...Background:Investigations of running gait among barefoot and populations have revealed a diversity of foot strike behaviors,with some preferentially employing a rearfoot strike(RFS) as the foot touches down while others employ a midfoot strike(MFS) or forefoot strike(FFS).Here,we report foot strike behavior and joint angles among traditional Hadza hunter-gatherers living in Northern Tanzania.Methods:Hadza adults(n = 26) and juveniles(n = 14) ran at a range of speeds(adults:mean 3.4 ± 0.7 m/s,juveniles:mean 3.2 ± 0.5 m/s) over an outdoor trackway while being recorded via high-speed digital video.Foot strike type(RFS.MFS.or FFS) and hind limb segment angles at foot strike were recorded.Results:Hadza men preferentially employed MFS(86.7%of men),while Hadza women and juveniles preferentially employed RFS(90.9%and85.7%of women and juveniles,respectively).No FFS was recorded.Speed,the presence of footwear(sandals vs.barefoot),and trial duration had no effect on foot strike type.Conclusion:Unlike other habitually barefoot populations which prefer FFS while running.Hadza men preferred MFS.and Hadza women and juveniles preferred RFS.Sex and age differences in foot strike behavior among Hadza adults may reflect differences in running experience,with men learning to prefer MFS as they accumulate more running experience.展开更多
Background:Previous studies of foot strike patterns of distance runners in road races have typically found that the overwhelming majority of shod runners initially contact the ground on the rearfoot.However,none of th...Background:Previous studies of foot strike patterns of distance runners in road races have typically found that the overwhelming majority of shod runners initially contact the ground on the rearfoot.However,none of these studies has attempted to quantify foot strike patterns of barefoot or minimally shod runners.This study classifies foot strike patterns of barefoot and minimally shod runners in a recreational road race.Methods:High-speed video footage was obtained of 169 barefoot and 42 minimally shod distance runners at the 2011 New York City Barefoot Run.Foot strike patterns were classified for each runner,and frequencies of forefoot,midfoot,and rearfoot striking were compared between the barefoot and minimally shod groups.Results:A total of 59.2%of barefoot runners were forefoot strikers,20.1%were midfoot strikers,and 20.7%were rearfoot strikers.For minimally shod runners,33.3%were forefoot strikers,19.1%were midfoot strikers,and 47.6%were rearfoot strikers.Foot strike distributions for barefoot and minimally shod runners were significantly different both from one another and from previously reported foot strike distributions of shod road racers.Conclusion:Foot strike patterns differ between barefoot and minimally shod runners,with forefoot striking being more common,and rearfoot striking less common in the barefoot group.展开更多
Background: Lack of an observable vertical impact peak in fore/mid-foot running has been suggested as a means of reducing lower extremity impact forces, although it is unclear if impact characteristics exist in other ...Background: Lack of an observable vertical impact peak in fore/mid-foot running has been suggested as a means of reducing lower extremity impact forces, although it is unclear if impact characteristics exist in other axes. The purpose of the investigation was to compare three-dimensional(3 D) impact kinetics among foot-strike conditions in over-ground running using instantaneous loading rate–time profiles.Methods: Impact characteristics were assessed by identifying peak loading rates in each direction(medial–lateral(ML), anterior–posterior(AP),vertical, and 3 D resultant) following foot-strike instructions(fore-foot, mid-foot, subtle heel, and obvious heel strike). Kinematic and kinetic data were analyzed among 9 male participants in each foot-strike condition.Results: Loading rate peaks were observed in each direction and foot-strike condition, differing in magnitude by direction(3 D resultant and vertical > AP > ML, p ≤ 0.031) and foot-strike: ML(fore-foot and mid-foot strike > obvious heel strike, p ≤ 0.032), AP(fore-foot and mid-foot strikes > subtle-heel and obvious heel strikes, p ≤ 0.023). In each direction, the first loading rate peak occurred later during heel strike running relative to fore-foot(p ≤ 0.019), with vertical and 3 D resultant impact durations exceeding shear(ML and AP, p ≤ 0.007) in each condition.Conclusion: Loading rate–time assessment identified contrasting impact characteristics in each direction and the 3 D resultant following foot-strike manipulations, with potential implications for lower extremity structures in running.展开更多
Background:Combined knee valgus and tibial internal rotation(VL+IR)moments have been shown to stress the anterior cruciate ligament(ACL)in several in vitro cadaveric studies.To utilize this knowledge for non-contact A...Background:Combined knee valgus and tibial internal rotation(VL+IR)moments have been shown to stress the anterior cruciate ligament(ACL)in several in vitro cadaveric studies.To utilize this knowledge for non-contact ACL injury prevention in sports,it is necessary to elucidate how the ground reaction force(GRF)acting point(center of pressure(CoP))in the stance foot produces combined knee VL+IR moments in risky maneuvers,such as cuttings.However,the effects of the GRF acting point on the development of the combined knee VL+IR moment in cutting are still unknown.Methods:We first established the deterministic mechanical condition that the CoP position relative to the tibial rotational axis differentiates the GRF vector’s directional probability for developing the combined knee VL+IR moment,and theoretically predicted that when the CoP is posterior to the tibial rotational axis,the GRF vector is more likely to produce the combined knee VL+IR moment than when the CoP is anterior to the tibial rotational axis.Then,we tested a stochastic aspect of our theory in a lab-controlled in vivo experiment.Fourteen females performed 60˚cutting under forefoot/rearfoot strike conditions(10 trials each).The positions of lower limb markers and GRF data were measured,and the knee moment due to GRF vector was calculated.The trials were divided into anterior-and posterior-CoP groups depending on the CoP position relative to the tibial rotational axis at each 10 ms interval from 0 to 100 ms after foot strike,and the occurrence rate of the combined knee VL+IR moment was compared between trial groups.Results:The posterior-CoP group showed significantly higher occurrence rates of the combined knee VL+IR moment(maximum of 82.8%)at every time point than those of the anterior-CoP trials,as theoretically predicted by the deterministic mechanical condition.Conclusion:The rearfoot strikes inducing the posterior CoP should be avoided to reduce the risk of non-contact ACL injury associated with the combined knee VL+IR stress.展开更多
Background:This prospective study explored the effects of endurance running(ER) in minimal versus standard running shoes on the foot’s superficial layer intrinsic muscles and the function of the longitudinal arch.Our...Background:This prospective study explored the effects of endurance running(ER) in minimal versus standard running shoes on the foot’s superficial layer intrinsic muscles and the function of the longitudinal arch.Our hypothesis was that running in minimal shoes would cause hypertrophy in these muscles and lead to higher,stronger,stiffer arches.Methods:The hypothesis was tested using a sample of 33 healthy runners randomized into two groups,a control group shod in traditional running footwear and an experimental group shod in minimal support footwear,whose feet were scanned in an MRI before and after a 12-week training regime.Running kinematics as well as arch stiffness and height were also assessed before and after the treatment period.Results:Analysis of anatomical cross-sectional areas and muscle volumes indicate that the flexor digitomm brevis muscle became larger in both groups by 11%and 21%,respectively,but only the minimally shod runners had significant areal and volumetric increases of the abductor digiti minimi of 18%and 22%,respectively,and significantly increased longitudinal arch stiffness(60%).Conclusion:These results suggest that endurance running in minimal support footwear with 4 mm offset or less makes greater use of the springlike function of the longitudinal arch,thus leading to greater demands on the intrinsic muscles that support the arch,thereby strengthening the foot.展开更多
Purpose:This study examined variation in foot strike types,lower extremity kinematics,and arch height and stiffness among Tarahumara Indians from the Sierra Tarahumara.Mexico.Methods:High speed video was used to study...Purpose:This study examined variation in foot strike types,lower extremity kinematics,and arch height and stiffness among Tarahumara Indians from the Sierra Tarahumara.Mexico.Methods:High speed video was used to study the kinematics of 23 individuals.13 who habitually wear traditional minimal running sandals(huaraches).and 10 who habitually wear modern,conventional running shoes with elevated,cushioned heels and arch support.Measurements of foot shape and arch stiffness were taken on these individuals plus an additional sample of 12 individuals.Results:Minimally shod Tarahumara exhibit much variation with 40%primarily using midfoot strikes,30%primarily using forefoot strikes,and30%primarily using rearfoot strikes.In contrast,75%of the conventionally shod Tarahumara primarily used rearfoot strikes,and 25%primarily used midfoot strikes.Individuals who used forefoot or midfoot strikes landed with significantly more plantarflexed ankles,flexed knees,and flexed hips than runners who used rearfoot strikes.Foot measurements indicate that conventionally shod Tarahumara also have significantly less stiff arches than those wearing minimal shoes.Conclusion:These data reinforce earlier studies that there is variation among foot strike patterns among minimally shod runners,but also support the hypothesis that foot stiffness and important aspects of running form,including foot strike,differ between runners who grow up using minimal versus modem,conventional footwear.展开更多
基金provided by the National Natural Science Foundation of China(Grants No.12272238 and No.11932013)the"Outstanding Young Scholar"Program of Shanghai Municipalthe"Dawn"Program of Shanghai Education Commission(Grant No.19SG47)。
文摘Background:Foot kinematics,such as excessive eversion and malalignment of the hindfoot,are believed to be associated with running-related injuries.The maj ority of studies to date show that different foot strike patterns influence these specific foot and ankle kinematics.However,technical deficiencies in traditional motion capture approaches limit knowledge of in vivo joint kinematics with respect to rearfoot and forefoot strike patterns(RFS and FFS,respectively).This study uses a high-speed dual fluoroscopic imaging system(DFIS)to determine the effects of different foot strike patterns on 3D in vivo tibiotalar and subtalar joints kinematics.Methods:Fifteen healthy male recreational runners underwent foot computed tomography scanning for the construction of 3-dimensional models.A high-speed DFIS(100 Hz)was used to collect 6 degrees of freedom kinematics for participants’tibiotalar and subtalar joints when they adopted RFS and FFS in barefoot condition.Results:Compared with RFS,FFS exhibited greater internal rotation at 0%-20%of the stance phase in the tibiotalar joint.The peak internal rotation angle of the tibiotalar joint under FFS was greater than under RFS(p<0.001,Cohen’s d=0.92).RFS showed more dorsiflexion at 0%-20%of the stance phase in the tibiotalar joint than FFS.RFS also presented a larger anterior translation(p<0.001,Cohen’s d=1.28)in the subtalar joint at i nitial contact than FFS.Conclusion:Running with acute barefoot FFS increases the internal rotation of the tibiotalar joint in the early stance.The use of high-speed DFIS to quantify the movement of the tibiotalar and subtalar joint was critical to revealing the effects of RF S and FFS during running.
基金the National Science Foundation(BCS-0850815)Hunter College
文摘Background:Investigations of running gait among barefoot and populations have revealed a diversity of foot strike behaviors,with some preferentially employing a rearfoot strike(RFS) as the foot touches down while others employ a midfoot strike(MFS) or forefoot strike(FFS).Here,we report foot strike behavior and joint angles among traditional Hadza hunter-gatherers living in Northern Tanzania.Methods:Hadza adults(n = 26) and juveniles(n = 14) ran at a range of speeds(adults:mean 3.4 ± 0.7 m/s,juveniles:mean 3.2 ± 0.5 m/s) over an outdoor trackway while being recorded via high-speed digital video.Foot strike type(RFS.MFS.or FFS) and hind limb segment angles at foot strike were recorded.Results:Hadza men preferentially employed MFS(86.7%of men),while Hadza women and juveniles preferentially employed RFS(90.9%and85.7%of women and juveniles,respectively).No FFS was recorded.Speed,the presence of footwear(sandals vs.barefoot),and trial duration had no effect on foot strike type.Conclusion:Unlike other habitually barefoot populations which prefer FFS while running.Hadza men preferred MFS.and Hadza women and juveniles preferred RFS.Sex and age differences in foot strike behavior among Hadza adults may reflect differences in running experience,with men learning to prefer MFS as they accumulate more running experience.
文摘Background:Previous studies of foot strike patterns of distance runners in road races have typically found that the overwhelming majority of shod runners initially contact the ground on the rearfoot.However,none of these studies has attempted to quantify foot strike patterns of barefoot or minimally shod runners.This study classifies foot strike patterns of barefoot and minimally shod runners in a recreational road race.Methods:High-speed video footage was obtained of 169 barefoot and 42 minimally shod distance runners at the 2011 New York City Barefoot Run.Foot strike patterns were classified for each runner,and frequencies of forefoot,midfoot,and rearfoot striking were compared between the barefoot and minimally shod groups.Results:A total of 59.2%of barefoot runners were forefoot strikers,20.1%were midfoot strikers,and 20.7%were rearfoot strikers.For minimally shod runners,33.3%were forefoot strikers,19.1%were midfoot strikers,and 47.6%were rearfoot strikers.Foot strike distributions for barefoot and minimally shod runners were significantly different both from one another and from previously reported foot strike distributions of shod road racers.Conclusion:Foot strike patterns differ between barefoot and minimally shod runners,with forefoot striking being more common,and rearfoot striking less common in the barefoot group.
基金funded by the Institutional Development Award Network of Biomedical Research Excellence through the National Institute of General Medical Sciences (8 20 GM103440-11)
文摘Background: Lack of an observable vertical impact peak in fore/mid-foot running has been suggested as a means of reducing lower extremity impact forces, although it is unclear if impact characteristics exist in other axes. The purpose of the investigation was to compare three-dimensional(3 D) impact kinetics among foot-strike conditions in over-ground running using instantaneous loading rate–time profiles.Methods: Impact characteristics were assessed by identifying peak loading rates in each direction(medial–lateral(ML), anterior–posterior(AP),vertical, and 3 D resultant) following foot-strike instructions(fore-foot, mid-foot, subtle heel, and obvious heel strike). Kinematic and kinetic data were analyzed among 9 male participants in each foot-strike condition.Results: Loading rate peaks were observed in each direction and foot-strike condition, differing in magnitude by direction(3 D resultant and vertical > AP > ML, p ≤ 0.031) and foot-strike: ML(fore-foot and mid-foot strike > obvious heel strike, p ≤ 0.032), AP(fore-foot and mid-foot strikes > subtle-heel and obvious heel strikes, p ≤ 0.023). In each direction, the first loading rate peak occurred later during heel strike running relative to fore-foot(p ≤ 0.019), with vertical and 3 D resultant impact durations exceeding shear(ML and AP, p ≤ 0.007) in each condition.Conclusion: Loading rate–time assessment identified contrasting impact characteristics in each direction and the 3 D resultant following foot-strike manipulations, with potential implications for lower extremity structures in running.
基金supported by the Grant-in-Aid for Young Scientists(B)Project(Grant No.24700716)funded by the Ministry of Education,Culture,Sports,Science and Technology,Japan.
文摘Background:Combined knee valgus and tibial internal rotation(VL+IR)moments have been shown to stress the anterior cruciate ligament(ACL)in several in vitro cadaveric studies.To utilize this knowledge for non-contact ACL injury prevention in sports,it is necessary to elucidate how the ground reaction force(GRF)acting point(center of pressure(CoP))in the stance foot produces combined knee VL+IR moments in risky maneuvers,such as cuttings.However,the effects of the GRF acting point on the development of the combined knee VL+IR moment in cutting are still unknown.Methods:We first established the deterministic mechanical condition that the CoP position relative to the tibial rotational axis differentiates the GRF vector’s directional probability for developing the combined knee VL+IR moment,and theoretically predicted that when the CoP is posterior to the tibial rotational axis,the GRF vector is more likely to produce the combined knee VL+IR moment than when the CoP is anterior to the tibial rotational axis.Then,we tested a stochastic aspect of our theory in a lab-controlled in vivo experiment.Fourteen females performed 60˚cutting under forefoot/rearfoot strike conditions(10 trials each).The positions of lower limb markers and GRF data were measured,and the knee moment due to GRF vector was calculated.The trials were divided into anterior-and posterior-CoP groups depending on the CoP position relative to the tibial rotational axis at each 10 ms interval from 0 to 100 ms after foot strike,and the occurrence rate of the combined knee VL+IR moment was compared between trial groups.Results:The posterior-CoP group showed significantly higher occurrence rates of the combined knee VL+IR moment(maximum of 82.8%)at every time point than those of the anterior-CoP trials,as theoretically predicted by the deterministic mechanical condition.Conclusion:The rearfoot strikes inducing the posterior CoP should be avoided to reduce the risk of non-contact ACL injury associated with the combined knee VL+IR stress.
基金supported by the Charles Phelps Taft Research Center at the University of Cincinnati
文摘Background:This prospective study explored the effects of endurance running(ER) in minimal versus standard running shoes on the foot’s superficial layer intrinsic muscles and the function of the longitudinal arch.Our hypothesis was that running in minimal shoes would cause hypertrophy in these muscles and lead to higher,stronger,stiffer arches.Methods:The hypothesis was tested using a sample of 33 healthy runners randomized into two groups,a control group shod in traditional running footwear and an experimental group shod in minimal support footwear,whose feet were scanned in an MRI before and after a 12-week training regime.Running kinematics as well as arch stiffness and height were also assessed before and after the treatment period.Results:Analysis of anatomical cross-sectional areas and muscle volumes indicate that the flexor digitomm brevis muscle became larger in both groups by 11%and 21%,respectively,but only the minimally shod runners had significant areal and volumetric increases of the abductor digiti minimi of 18%and 22%,respectively,and significantly increased longitudinal arch stiffness(60%).Conclusion:These results suggest that endurance running in minimal support footwear with 4 mm offset or less makes greater use of the springlike function of the longitudinal arch,thus leading to greater demands on the intrinsic muscles that support the arch,thereby strengthening the foot.
基金a grant from the American School of Prehistoric Research (Harvard University)
文摘Purpose:This study examined variation in foot strike types,lower extremity kinematics,and arch height and stiffness among Tarahumara Indians from the Sierra Tarahumara.Mexico.Methods:High speed video was used to study the kinematics of 23 individuals.13 who habitually wear traditional minimal running sandals(huaraches).and 10 who habitually wear modern,conventional running shoes with elevated,cushioned heels and arch support.Measurements of foot shape and arch stiffness were taken on these individuals plus an additional sample of 12 individuals.Results:Minimally shod Tarahumara exhibit much variation with 40%primarily using midfoot strikes,30%primarily using forefoot strikes,and30%primarily using rearfoot strikes.In contrast,75%of the conventionally shod Tarahumara primarily used rearfoot strikes,and 25%primarily used midfoot strikes.Individuals who used forefoot or midfoot strikes landed with significantly more plantarflexed ankles,flexed knees,and flexed hips than runners who used rearfoot strikes.Foot measurements indicate that conventionally shod Tarahumara also have significantly less stiff arches than those wearing minimal shoes.Conclusion:These data reinforce earlier studies that there is variation among foot strike patterns among minimally shod runners,but also support the hypothesis that foot stiffness and important aspects of running form,including foot strike,differ between runners who grow up using minimal versus modem,conventional footwear.
