Accuracy of self-reported foot strike pattern detection among endurance runners
IntroductionFoot strike pattern is often associated with running related injury and the focus of training and rehabilitation for athletes. The ability to modify foot strike pattern depends on awareness of foot strike pattern before being able to attempt change the pattern. Accurate foot strike patte...
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Frontiers Media S.A.
2024-12-01
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Online Access: | https://www.frontiersin.org/articles/10.3389/fspor.2024.1491486/full |
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author | Heather K. Vincent Kyle Coffey Aiden Villasuso Kevin R. Vincent Sharareh Sharififar Lydia Pezzullo Ryan M. Nixon |
author_facet | Heather K. Vincent Kyle Coffey Aiden Villasuso Kevin R. Vincent Sharareh Sharififar Lydia Pezzullo Ryan M. Nixon |
author_sort | Heather K. Vincent |
collection | DOAJ |
description | IntroductionFoot strike pattern is often associated with running related injury and the focus of training and rehabilitation for athletes. The ability to modify foot strike pattern depends on awareness of foot strike pattern before being able to attempt change the pattern. Accurate foot strike pattern detection may help prevent running related injury (RRI) and facilitate gait modifications and shoe transitions. The purposes of this study were to determine the accuracy of self-reported foot strike pattern among endurance runners, to identify what factors were predictive of accurate foot strike detection and recent RRI.MethodsThis was a retrospective, cross-sectional study which included endurance runners (N = 710; 51.5% female; 35.4 ± 15.5 years; 51.6% were training competitively at the time of testing) with different running injury histories. Runners self-reported foot strike pattern [rearfoot, non-rearfoot (mid or forefoot), or “don't know”] and information about shoewear specifics. All runners performed a single session of running at self-selected speed on an instrumented treadmill with 3D motion capture and high-speed filming that verified actual foot strike. Logistic regression was used to predict accuracy of foot strike detection and RRI.ResultsOverall accuracy of foot strike detection was low (42.7%; p < 0.01). Self-reported foot strike was 28.3% for rearfoot, 47.0% for nonrearfoot forefoot strike and 24.6% did not know. Biomechanical analyses actually showed that 34% of rearfoot strikers accurately detected rearfoot strike, while 69.5% of non-rearfoot strikers self-reported accurate non-rearfoot strike (p < 0.05). Runners who “did not know” their strike had the highest prevalence of RRI compared to runners who self-reported nonrearfoot or rearfoot strike (73% vs. 56% and 58%; p < .001). After accounting for several variables, shoe heel-to-toe drop was a consistent predictor of accurate strike detection [OR = 0.93 (0.88–0.99); p = 0.026] and RRI in last six months [OR = 1. 1 (1.01–1.17); p = 0.018]. RRI were also predicted by recent shoe change [OR = 2.8 (1.7–4.6); p < 0.001].DiscussionAccurate detection of actual foot strike by endurance runners varies by the actual foot strike type determined during testing and is associated shoe characteristics. These findings demonstrate the importance of accurately identifying foot strike pattern and recommending footwear as a factor if planning to use retraining to alter foot strike pattern. |
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spelling | doaj-art-034f676014384b12a56e9e4830b99c9c2024-12-11T04:31:47ZengFrontiers Media S.A.Frontiers in Sports and Active Living2624-93672024-12-01610.3389/fspor.2024.14914861491486Accuracy of self-reported foot strike pattern detection among endurance runnersHeather K. Vincent0Kyle Coffey1Aiden Villasuso2Kevin R. Vincent3Sharareh Sharififar4Lydia Pezzullo5Ryan M. Nixon6Exercise and Functional Fitness Laboratory, Department of Physical Medicine and Rehabilitation, University of Florida, Gainesville, FL, United StatesExercise and Functional Fitness Laboratory, Department of Physical Medicine and Rehabilitation, University of Florida, Gainesville, FL, United StatesDepartment of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, United StatesExercise and Functional Fitness Laboratory, Department of Physical Medicine and Rehabilitation, University of Florida, Gainesville, FL, United StatesExercise and Functional Fitness Laboratory, Department of Physical Medicine and Rehabilitation, University of Florida, Gainesville, FL, United StatesExercise and Functional Fitness Laboratory, Department of Physical Medicine and Rehabilitation, University of Florida, Gainesville, FL, United StatesExercise and Functional Fitness Laboratory, Department of Physical Medicine and Rehabilitation, University of Florida, Gainesville, FL, United StatesIntroductionFoot strike pattern is often associated with running related injury and the focus of training and rehabilitation for athletes. The ability to modify foot strike pattern depends on awareness of foot strike pattern before being able to attempt change the pattern. Accurate foot strike pattern detection may help prevent running related injury (RRI) and facilitate gait modifications and shoe transitions. The purposes of this study were to determine the accuracy of self-reported foot strike pattern among endurance runners, to identify what factors were predictive of accurate foot strike detection and recent RRI.MethodsThis was a retrospective, cross-sectional study which included endurance runners (N = 710; 51.5% female; 35.4 ± 15.5 years; 51.6% were training competitively at the time of testing) with different running injury histories. Runners self-reported foot strike pattern [rearfoot, non-rearfoot (mid or forefoot), or “don't know”] and information about shoewear specifics. All runners performed a single session of running at self-selected speed on an instrumented treadmill with 3D motion capture and high-speed filming that verified actual foot strike. Logistic regression was used to predict accuracy of foot strike detection and RRI.ResultsOverall accuracy of foot strike detection was low (42.7%; p < 0.01). Self-reported foot strike was 28.3% for rearfoot, 47.0% for nonrearfoot forefoot strike and 24.6% did not know. Biomechanical analyses actually showed that 34% of rearfoot strikers accurately detected rearfoot strike, while 69.5% of non-rearfoot strikers self-reported accurate non-rearfoot strike (p < 0.05). Runners who “did not know” their strike had the highest prevalence of RRI compared to runners who self-reported nonrearfoot or rearfoot strike (73% vs. 56% and 58%; p < .001). After accounting for several variables, shoe heel-to-toe drop was a consistent predictor of accurate strike detection [OR = 0.93 (0.88–0.99); p = 0.026] and RRI in last six months [OR = 1. 1 (1.01–1.17); p = 0.018]. RRI were also predicted by recent shoe change [OR = 2.8 (1.7–4.6); p < 0.001].DiscussionAccurate detection of actual foot strike by endurance runners varies by the actual foot strike type determined during testing and is associated shoe characteristics. These findings demonstrate the importance of accurately identifying foot strike pattern and recommending footwear as a factor if planning to use retraining to alter foot strike pattern.https://www.frontiersin.org/articles/10.3389/fspor.2024.1491486/fullrunningfoot strikerunning shoebiomechanicsgait |
spellingShingle | Heather K. Vincent Kyle Coffey Aiden Villasuso Kevin R. Vincent Sharareh Sharififar Lydia Pezzullo Ryan M. Nixon Accuracy of self-reported foot strike pattern detection among endurance runners Frontiers in Sports and Active Living running foot strike running shoe biomechanics gait |
title | Accuracy of self-reported foot strike pattern detection among endurance runners |
title_full | Accuracy of self-reported foot strike pattern detection among endurance runners |
title_fullStr | Accuracy of self-reported foot strike pattern detection among endurance runners |
title_full_unstemmed | Accuracy of self-reported foot strike pattern detection among endurance runners |
title_short | Accuracy of self-reported foot strike pattern detection among endurance runners |
title_sort | accuracy of self reported foot strike pattern detection among endurance runners |
topic | running foot strike running shoe biomechanics gait |
url | https://www.frontiersin.org/articles/10.3389/fspor.2024.1491486/full |
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