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...

Full description

Saved in:
Bibliographic Details
Main Authors: Heather K. Vincent, Kyle Coffey, Aiden Villasuso, Kevin R. Vincent, Sharareh Sharififar, Lydia Pezzullo, Ryan M. Nixon
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Sports and Active Living
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fspor.2024.1491486/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846128295096090624
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.
format Article
id doaj-art-034f676014384b12a56e9e4830b99c9c
institution Kabale University
issn 2624-9367
language English
publishDate 2024-12-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Sports and Active Living
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
work_keys_str_mv AT heatherkvincent accuracyofselfreportedfootstrikepatterndetectionamongendurancerunners
AT kylecoffey accuracyofselfreportedfootstrikepatterndetectionamongendurancerunners
AT aidenvillasuso accuracyofselfreportedfootstrikepatterndetectionamongendurancerunners
AT kevinrvincent accuracyofselfreportedfootstrikepatterndetectionamongendurancerunners
AT shararehsharififar accuracyofselfreportedfootstrikepatterndetectionamongendurancerunners
AT lydiapezzullo accuracyofselfreportedfootstrikepatterndetectionamongendurancerunners
AT ryanmnixon accuracyofselfreportedfootstrikepatterndetectionamongendurancerunners