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Updated: Jan 2, 2026

Comparative Analysis of Lower Limb Kinematics between the Initial and Terminal Phase of 5km Treadmill Running
Published on: July 17, 2020
ILIAC CREST HEIGHT DIFFERENCE AND OTHER RUNNING-RELATED VARIABLES' RELATIONSHIP WITH RUNNING INJURY.
Richard L Cahanin Iv1,2,3,4, John R Jefferson1,2,3,4, Timothy W Flynn1,2,3,4
1Department of Physical Therapy, University of South Alabama, Mobile, AL, USA.
Small leg-length inequality (measured by iliac crest height difference) does not predict running injuries. Past injury history and participating in multiple running events are key risk factors for recreational runners.
Area of Science:
- Sports Medicine
- Biomechanics
- Running Injury Prevention
Background:
- Leg-length inequality (LLI) is a common condition linked to spinal, pelvic, and lower extremity issues.
- Iliac crest height difference (ICHD) is a reliable indicator of LLI and may predict injury risk.
Purpose of the Study:
- To examine the association between ICHD, running variables, and running-related injuries.
- To identify risk factors for running injuries in recreational runners.
Main Methods:
- Observational retrospective case-control study.
- Data collected from 100 runners via questionnaire and physical examination.
- Chi-squared tests of independence used for analysis.
Main Results:
- Approximately 40% of runners reported ICHD ≥ 5mm.
- No significant difference in injury rates based on ICHD thresholds (≥5mm vs. <5mm).
- Lifetime injury history and participation in multiple running events were significant predictors of injury.
Conclusions:
- Small ICHD is not associated with running injuries in recreational runners.
- Runners with a history of injury or participating in multiple events annually face increased risk.
- Male runners may have a slightly higher risk of injury compared to females.
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