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Is There a Pathological Gait Associated With Common Soft Tissue Running Injuries?
Christopher Bramah1, Stephen J Preece1, Niamh Gill1
1School of Health Sciences, University of Salford, Salford, UK.
The American Journal of Sports Medicine
|September 8, 2018
Summary
Common running injuries share similar kinematic patterns, particularly increased contralateral pelvic drop (CPD). This finding suggests CPD is a key biomechanical factor contributing to various running-related injuries.
Area of Science:
- Biomechanics
- Sports Medicine
- Running Injury Research
Background:
- Running injuries are linked to specific lower limb kinematics.
- Research has not extensively explored if common kinematic patterns underlie multiple running injuries.
- Such patterns could indicate global contributors to running injuries.
Purpose of the Study:
- To investigate if similar running kinematic patterns are present across different soft tissue running injuries.
- To identify global kinematic contributors to common running injuries.
Main Methods:
- A controlled laboratory study compared 3D running kinematics of 72 injured runners (4 subgroups) and 36 healthy controls.
- Logistic regression identified kinematic parameters differentiating injured from healthy runners.
Main Results:
- Injured runners exhibited greater contralateral pelvic drop (CPD), forward trunk lean, extended knee, and dorsiflexed ankle at initial contact.
- These kinematic patterns were consistent across all injured subgroups.
- Increased CPD was the strongest predictor of injury, with each 1° increase raising injury odds by 80%.
Conclusions:
- Common running injuries share global kinematic contributors, including increased CPD, trunk lean, knee extension, and ankle dorsiflexion.
- Contralateral pelvic drop is strongly associated with running-related injuries.
- These findings can aid clinicians in assessing biomechanical injury risk factors.
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