Introduction to running analysis in the clinical setting: A masterclass

IF 1.1 4区医学 Q2 MEDICINE, GENERAL & INTERNAL International Journal of Osteopathic Medicine Pub Date : 2023-12-27 DOI:10.1016/j.ijosm.2023.100698

Nicholas Tripodi , Jack Feehan , Daniel Corcoran , Brett Vaughan , Patrick McLaughlin

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Abstract

Running is a widely-adopted exercise modality, with relatively low financial barriers to access, and is associated with a host of health benefits. However, with this high participation rate, comes a high risk of running related injury (RRI)—with rates of up to 85 % being reported. There are many drivers of RRI such as training load, genetic and anthropometric factors, with biomechanical factors being an important consideration also. Traditionally, biomechanical gait analysis was only able to be performed in expensive specialised 3D gait laboratories. However, since the introduction of smart devices and apps, 2D gait analysis is now an accessible tool to any musculoskeletal clinician. Despite the high availability of these technologies in practice, there is currently a lack of resources for proper application and training in clinical gait analysis. Therefore, the aim of this masterclass is to provide an easy to understand, and apply guide to 2D biomechanical running analysis and running retraining in routine clinical practice.

Implications for practice

•
Structured biomechanical analysis and running retraining can be used in the management of some RRIs.
•
Running retraining advice should often be given in conjunction with training load and exercise rehabilitation advice.
•
There is no evidence that prospectively changing an un-injured runner's biomechanics can have an influence on RRI development.
•
More research needs to be performed on the links between running kinematics and RRI.

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临床运行分析入门：大师班

跑步是一种被广泛采用的运动方式，其经济门槛相对较低，并对健康有诸多益处。然而，跑步参与率高的同时，跑步相关损伤（RRI）的风险也很高，据报道，RRI 的发生率高达 85%。导致跑步损伤的因素有很多，如训练负荷、遗传和人体测量因素，生物力学因素也是一个重要的考虑因素。传统上，生物力学步态分析只能在昂贵的专业 3D 步态实验室中进行。然而，自从智能设备和应用程序问世以来，二维步态分析已成为任何肌肉骨骼临床医生都能使用的工具。尽管这些技术在实践中的可用性很高，但目前在临床步态分析的正确应用和培训方面却缺乏资源。因此，本大师班旨在为二维生物力学跑步分析和日常临床实践中的跑步再训练提供易于理解和应用的指南。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Osteopathic Medicine 医学-医学：内科

CiteScore

2.20

自引率

36.80%

发文量

审稿时长

3 months

期刊介绍： The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine. The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.