Skip to main content
Log in

A Pressure Plate-Based Method for the Automatic Assessment of Foot Strike Patterns During Running

  • Published:
Annals of Biomedical Engineering Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1
Figure 2
Figure 3
Figure 4

Similar content being viewed by others

References

  1. 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.

    Article  PubMed  Google Scholar 

  2. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Beely, F. Zur Mechanik des Stehens. Ueber die Bedeutung des Fussgewölbes beim Stehen. Arch. für Klin. Chir. 27:457–471, 1882.

    Google Scholar 

  4. 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.

    Article  CAS  PubMed  Google Scholar 

  5. 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.

    Article  PubMed  Google Scholar 

  6. Borg, G. A. V. Psychophysical bases of perceived exertion. Med. Sci. Sports Exerc. 14:377–381, 1982.

    CAS  PubMed  Google Scholar 

  7. 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.

    Article  PubMed  Google Scholar 

  8. 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.

    Article  PubMed  Google Scholar 

  9. Bramble, D. M., and D. E. Lieberman. Endurance running and the evolution of Homo. Nature 432:345–352, 2004.

    Article  CAS  PubMed  Google Scholar 

  10. 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.

    Article  PubMed  Google Scholar 

  11. Burfoot, A. The history of the marathon: 1976–present. Sport. Med. 37:284–287, 2007.

    Article  Google Scholar 

  12. Cavagna, G. A., L. Komarek, and S. Mazzoleni. The mechanics of sprint running. J. Neurosci. 217:709–721, 1971.

    CAS  Google Scholar 

  13. Cavanagh, P. R., and M. A. Lafortune. Ground reaction forces in distance running. J. Biomech. 13:397–406, 1980.

    Article  CAS  PubMed  Google Scholar 

  14. 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.

    Article  PubMed  Google Scholar 

  15. 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.

    Article  PubMed  Google Scholar 

  16. 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.

    Article  PubMed  Google Scholar 

  17. 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.

    Article  PubMed  Google Scholar 

  18. Elftman, H. A cinematic study of the distribution of pressure in the human foot. Anat. Rec. 59:481–491, 1934.

    Article  Google Scholar 

  19. 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.

    Article  PubMed  Google Scholar 

  20. 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.

    Article  PubMed  Google Scholar 

  21. 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.

    Article  PubMed  Google Scholar 

  22. Hamill, J., and A. H. Gruber. Running injuries: forefoot versus rearfoot and barefoot versus shod: a biomechanist’s perspective. 2012.

  23. 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.

    PubMed  Google Scholar 

  24. 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.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. 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.

    PubMed  PubMed Central  Google Scholar 

  26. 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.

    Article  CAS  PubMed  Google Scholar 

  27. 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.

    Article  PubMed  Google Scholar 

  28. 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.

    Google Scholar 

  29. Lees, A., and J. Bouracier. The longitudinal variability of ground reaction forces in experienced and inexperienced runners. Ergonomics 37:197–206, 1994.

    Article  CAS  PubMed  Google Scholar 

  30. 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.

    Article  CAS  PubMed  Google Scholar 

  31. 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.

    Google Scholar 

  32. 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.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. 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.

    Article  PubMed  Google Scholar 

  34. 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.

    Google Scholar 

  35. 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.

    Article  PubMed  Google Scholar 

  36. Momburg, F. Der Gang des Menschen und die Fussgeschwulst. Berlin: Hirschwald, 1908; (87 pp).

    Google Scholar 

  37. 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.

    Article  PubMed  Google Scholar 

  38. 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.

    Article  Google Scholar 

  39. 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.

    Article  PubMed  Google Scholar 

  40. 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.

    Article  PubMed  Google Scholar 

  41. 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.

    Article  PubMed  Google Scholar 

  42. 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.

    CAS  PubMed  Google Scholar 

  43. Treutwein, B. Adaptive psychophysical procedures. Vis Res. 35:2503–2522, 1995.

    Article  CAS  PubMed  Google Scholar 

  44. 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.

    Google Scholar 

  45. 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.

    Google Scholar 

  46. 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.

    Article  PubMed  Google Scholar 

Download references

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.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Adamantios Arampatzis.

Additional information

Associate Editor Michael Torry oversaw the review of this article.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10439-015-1484-3

Keywords

Navigation