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Updated: Jun 14, 2026

Movement Retraining using Real-time Feedback of Performance
Published on: January 17, 2013
Reducing impact loading during running with the use of real-time visual feedback
Harrison Philip Crowell1, Clare E Milner, Joseph Hamill
1US Army Research Laboratory, RDRL-HRS-B, Aberdeen Proving Ground, MD 21005-5425, USA. harrison.philip.crowell@us.army.mil
Runners can reduce lower extremity loading, a risk factor for stress fractures, using real-time visual feedback from accelerometers. This study suggests a new training approach to prevent running-related injuries.
Area of Science:
- Biomechanics
- Sports Medicine
- Injury Prevention
Background:
- Running-related stress fractures are common and linked to high tibial acceleration and loading rates.
- Identifying and modifying these loading patterns may reduce injury risk.
- Real-time feedback offers a potential method for runners to self-correct harmful biomechanics.
Purpose of the Study:
- To investigate if runners can decrease tibial acceleration and vertical-force loading rates using real-time visual feedback.
- To assess the immediate effects of such feedback on biomechanical parameters associated with stress fractures.
Main Methods:
- A single-subject repeated measures design was employed with five participants.
- Subjects ran on a treadmill while wearing a tibial accelerometer and running on force transducers.
- Data on tibial acceleration and force loading rates were collected during warm-up, feedback, and no-feedback periods.
Main Results:
- Four out of five runners showed significant reductions in peak tibial acceleration after the feedback period.
- All participants demonstrated significant decreases in impact peak and vertical ground reaction force loading rates.
- These reductions were observed even after the feedback was removed (no-feedback period).
Conclusions:
- A single training session using real-time visual feedback can effectively reduce biomechanical loading associated with stress fractures in most runners.
- This approach holds promise for developing targeted training programs to mitigate stress fracture risk in runners.
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