Is There a Relationship Between Strike Pattern and Injury During Running: A Review

Object: Recently people have shown an interest in running barefoot or with minimalist shoes, which result in forefoot strike (FFS) patterns that are different from running in normal shod with the rearfoot strike (RFS). To date, there is a dispute whether runners’ footfall pattern has an important impact on running injuries. Therefore, the purpose of this review is to investigate whether there is a relationship between different strike patterns and running injuries by reviewing the literature. Materials and Methods: A database retrieval and reference search were carried out with PubMed, Scopus, Google Scholar, and ScienceDirect. In the final review, 10 papers were included by matching the inclusion criteria. Results: Barefoot running exhibited smaller impact forces, short stride length, higher strike frequency, and shorter contact times compared to the standard shod condition. The forefoot strike pattern showed an increase in the plantarflexed foot, more ankle compliance during impact, smaller loading at the knee and lowered vertical loading rate in the FFS pattern than RFS. Discussion: Although the running injury is driven by multi-factorial variables, our literature review did not show any scientific evidence to suggest that footfall patterns are directly related to running injury.