Abstract
The foot strike pattern (FSP, description of how the foot touches the ground at impact) is recognized to be a predictor of both performance and injury risk. The objective of the current investigation was to validate an original foot strike pattern assessment technique based on the numerical analysis of foot pressure distribution. We analyzed the strike patterns during running of 145 healthy men and women (85 male, 60 female). The participants ran on a treadmill with integrated pressure plate at three different speeds: preferred (shod and barefoot 2.8 ± 0.4 m/s), faster (shod 3.5 ± 0.6 m/s) and slower (shod 2.3 ± 0.3 m/s). A custom-designed algorithm allowed the automatic footprint recognition and FSP evaluation. Incomplete footprints were simultaneously identified and corrected from the software itself. The widely used technique of analyzing high-speed video recordings was checked for its reliability and has been used to validate the numerical technique. The automatic numerical approach showed a good conformity with the reference video-based technique (ICC = 0.93, p < 0.01). The great improvement in data throughput and the increased completeness of results allow the use of this software as a powerful feedback tool in a simple experimental setup.
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Almonroeder, T., J. D. Willson, and T. W. Kernozek. The effect of foot strike pattern on achilles tendon load during running. Ann. Biomed. Eng. 41:1758–1766, 2013.
Altman, A. R., and I. S. Davis. A kinematic method for footstrike pattern detection in barefoot and shod runners. Gait Posture 35:298–300, 2012.
Beely, F. Zur Mechanik des Stehens. Ueber die Bedeutung des Fussgewölbes beim Stehen. Arch. für Klin. Chir. 27:457–471, 1882.
Bennell, K. L., S. A. Malcolm, S. A. Thomas, P. R. Ebeling, P. R. McCrory, J. D. Wark, and P. D. Brukner. Risk factors for stress fractures in female track-and-field athletes: a retrospective analysis. Clin. J. Sport Med. 5:229–235, 1995.
Bertelsen, M. L., J. F. Jensen, M. H. Nielsen, R. O. Nielsen, and S. Rasmussen. Footstrike patterns among novice runners wearing a conventional, neutral running shoe. Gait Posture 38:354–356, 2012.
Borg, G. A. V. Psychophysical bases of perceived exertion. Med. Sci. Sports Exerc. 14:377–381, 1982.
Boyer, E. R., and T. R. Derrick. Select injury-related variables are affected by stride length and foot strike style during running. Am. J. Sports Med. 43:2310–2317, 2015.
Boyer, E. R., B. D. Rooney, and T. R. Derrick. Rearfoot and midfoot or forefoot impacts in habitually shod runners. Med. Sci. Sports Exerc. 46:1384–1391, 2014.
Bramble, D. M., and D. E. Lieberman. Endurance running and the evolution of Homo. Nature 432:345–352, 2004.
Braunstein, B., A. Arampatzis, P. Eysel, and G.-P. Brüggemann. Footwear affects the gearing at the ankle and knee joints during running. J. Biomech. 43:2120–2125, 2010.
Burfoot, A. The history of the marathon: 1976–present. Sport. Med. 37:284–287, 2007.
Cavagna, G. A., L. Komarek, and S. Mazzoleni. The mechanics of sprint running. J. Neurosci. 217:709–721, 1971.
Cavanagh, P. R., and M. A. Lafortune. Ground reaction forces in distance running. J. Biomech. 13:397–406, 1980.
Chambon, N., N. Delattre, N. Guéguen, E. Berton, and G. Rao. Is midsole thickness a key parameter for the running pattern? Gait Posture 40(1):58–63, 2014.
Daoud, A. I., G. J. Geissler, F. Wang, J. Saretsky, Y. A. Daoud, and D. E. Lieberman. Foot strike and injury rates in endurance runners: a retrospective study. Med. Sci. Sports Exerc. 44:1325–1334, 2012.
De Almeida, M. O., B. T. Saragiotto, T. P. Yamato, and A. D. Lopes. Is the rearfoot pattern the most frequently foot strike pattern among recreational shod distance runners? Phys. Ther. Sport 16(1):29–33, 2015.
Di Michele, R., and F. Merni. The concurrent effects of strike pattern and ground-contact time on running economy. J. Sci. Med. Sport 17:414–418, 2014.
Elftman, H. A cinematic study of the distribution of pressure in the human foot. Anat. Rec. 59:481–491, 1934.
Fletcher, J. R., S. P. Esau, and B. R. MacIntosh. Economy of running: beyond the measurement of oxygen uptake. J. Appl. Physiol. 107:1918–1922, 2009.
Giandolini, M., T. Poupard, P. Gimenez, N. Horvais, G. Y. Millet, J.-B. Morin, and P. Samozino. A simple field method to identify foot strike pattern during running. J. Biomech. 47:1588–1593, 2014.
Gruber, A. H., B. R. Umberger, B. Braun, and J. Hamill. Economy and rate of carbohydrate oxidation during running with rearfoot and forefoot strike patterns. J. Appl. Physiol. 115:194–201, 2013.
Hamill, J., and A. H. Gruber. Running injuries: forefoot versus rearfoot and barefoot versus shod: a biomechanist’s perspective. 2012.
Hasegawa, H., T. Yamauchi, and W. J. Kraemer. Foot strike patterns of runners at the 15-km point during an elite-level half marathon. J. Strength Cond. Res. 21:888–893, 2007.
Hatala, K. G., H. L. Dingwall, R. E. Wunderlich, and B. G. Richmond. Variation in foot strike patterns during running among habitually barefoot populations. PLoS One 8:e52548, 2013.
Kasmer, M. E., X.-C. Liu, K. G. Roberts, and J. M. Valadao. Foot-strike pattern and performance in a marathon. Int. J. Sports Physiol. Perform. 8:286–292, 2013.
Kernozek, T. W., S. Meardon, and C. N. Vannatta. In-shoe loading in rearfoot and non-rearfoot strikers during running using minimalist footwear. Int. J. Sports Med. 35(13):1112–1117, 2014.
Larson, P., E. Higgins, J. Kaminski, T. Decker, J. Preble, D. Lyons, K. McIntyre, and A. Normile. Foot strike patterns of recreational and sub-elite runners in a long-distance road race. J. Sports Sci. 29:1665–1673, 2011.
Laughton, C. A., I. M. Davis, and J. Hamill. Effect of strike pattern and orthotic intervention on tibial shock during running. J. Appl. Biomech. 19:153–168, 2003.
Lees, A., and J. Bouracier. The longitudinal variability of ground reaction forces in experienced and inexperienced runners. Ergonomics 37:197–206, 1994.
Lieberman, D. E., M. Venkadesan, W. A. Werbel, A. I. Daoud, S. D’Andrea, I. S. Davis, R. O. Mang’eni, and Y. Pitsiladis. Foot strike patterns and collision forces in habitually barefoot versus shod runners. Nature 463:531–535, 2010.
Logan, S., I. Hunter, J. T. Hopkins, J. B. Feland, and A. C. Parcell. Ground reaction force differences between running shoes, racing flats, and distance spikes in runners. J. Sport. Sci. Med. 9:147–153, 2010.
Lun, V., W. H. Meeuwisse, P. Stergiou, and D. Stefanyshyn. Relation between running injury and static lower limb alignment in recreational runners. Br. J. Sports Med. 38:576–580, 2004.
Mann, R., L. Malisoux, R. Brunner, P. Gette, A. Urhausen, A. Statham, K. Meijer, and D. Theisen. Reliability and validity of pressure and temporal parameters recorded using a pressure-sensitive insole during running. Gait Posture 39:455–459, 2014.
McCallion, C., B. Donne, N. Fleming, and B. Blanksby. Acute differences in foot strike and spatiotemporal variables for shod, barefoot or minimalist male runners. J. Sport. Sci. Med. 13:280–286, 2014.
Milner, C. E., R. Ferber, C. D. Pollard, J. Hamill, and I. S. Davis. Biomechanical factors associated with tibial stress fracture in female runners. Med. Sci. Sports Exerc. 38:323–328, 2006.
Momburg, F. Der Gang des Menschen und die Fussgeschwulst. Berlin: Hirschwald, 1908; (87 pp).
Perl, D. P., A. I. Daoud, and D. E. Lieberman. Effects of footwear and strike type on running economy. Med. Sci. Sports Exerc. 44:1335–1343, 2012.
Pohl, M. B., and J. G. Buckley. Changes in foot and shank coupling due to alterations in foot strike pattern during running. Clin. Biomech. 23:334–341, 2008.
Pohl, M. B., D. R. Mullineaux, C. E. Milner, J. Hamill, and I. S. Davis. Biomechanical predictors of retrospective tibial stress fractures in runners. J. Biomech. 41:1160–1165, 2008.
Riley, P. O., J. Dicharry, J. Franz, U. Della Croce, R. P. Wilder, and D. C. Kerrigan. A kinematics and kinetic comparison of overground and treadmill running. Med. Sci. Sports Exerc. 40:1093–1100, 2008.
Scholten, S. D., N. Stergiou, A. Hreljac, J. Houser, D. Blanke, and L. R. Alberts. Foot strike patterns after obstacle clearance during running. Med. Sci. Sports Exerc. 34:123–129, 2002.
Squadrone, R., and C. Gallozzi. Biomechanical and physiological comparison of barefoot and two shod conditions in experienced barefoot runners. J. Sports Med. Phys. Fitness 49(1):6–13, 2009.
Treutwein, B. Adaptive psychophysical procedures. Vis Res. 35:2503–2522, 1995.
White, S. C., L. A. Gilchrist, and K. A. Christina. Within-day accommodation effects on vertical reaction forces for treadmill running. J. Appl. Biomech. 18:74–82, 2002.
Williams, D. S., I. S. McClay, and K. T. Manal. Lower extremity mechanics in runners with a converted forefoot strike pattern. J. Appl. Biomech. 16:210–218, 2000.
Zifchock, R. A., I. Davis, and J. Hamill. Kinetic asymmetry in female runners with and without retrospective tibial stress fractures. J. Biomech. 39:2792–2797, 2006.
Acknowledgments
We are grateful to Arno Schroll for the precious suggestions in matter of statistics and to Sebastian Bohm, PhD and Falk Mersmann for the great help in collecting the participants.
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Associate Editor Michael Torry oversaw the review of this article.
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Santuz, A., Ekizos, A. & Arampatzis, A. A Pressure Plate-Based Method for the Automatic Assessment of Foot Strike Patterns During Running. Ann Biomed Eng 44, 1646–1655 (2016). https://doi.org/10.1007/s10439-015-1484-3
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DOI: https://doi.org/10.1007/s10439-015-1484-3