running

Running Mechanics Part II: Top 5 Mechanical Faults

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Top 5 Mechanical Running Faults

In my last post we discussed some running gait pattern norms. Once again, it is difficult to completely standardize running gait however researchers have been able to set a range of “optimal” angles and loads through extensive observation on runners with and without pain.  So now we know that anything deviates TOO MUCH from the closest thing to a standard can produce future problems.  For clinicians who want to analyze gait a few recommendation for you would be: educate yourself on running gait normal and abnormal patterns, and strongly consider observing running gait in slow motion or use some of gait analysis system. It is really difficult to see under the naked eye unless you have observed thousands of runners and actually paid attention to mechanics. 

Recall what I stated in the first post, “in order to run the athlete has be able to properly absorb shock, demonstrates proper alignment of the lower quarter joint and demonstrates good stability of the trunk, pelvis, knee, and ankle”. Or as I put it “YOU HAVE TO BE FIT TO RUN.” 

When analyzing running gait, crucial deviation or faults will be seen during initial contact through all the way through toe off (the period of time one foot is on the ground). With that being said, lets look at the top 5 common running mechanical deviations.  This may be helpful to some runners and clinicians who are trying to figure out why the athlete may be experiencing pain. 

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Running Mechanics: The Introduction

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How many of you have come across avid runners for patients? Have they asked you question about their running gait? Feeling confident with answering their questions? If not, this post is for you.

With 36 million people running in the United states, running has become a big area of study. When it comes to running gait (running much like walking) it will vary from runner to runner according to specific muscle imbalances. For this reason, it is difficult to standardize the “Perfect Form”  however there is research to support what “normal” running should closely resemble.  Why is this important? It is important because within the running community there is an incident of injuries as high at 79%, most occurring at the knee. Therefore, you have to think along the lines that these athlete run hundreds of miles a year, there is a repetitive stress, and the ones that are injured may be moving sub-optimally.  The purpose of this post is to introduce basic running mechanics so that we can further analyze gait in the next post. 

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Tibial Stress Fractures

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As running become more popular as a form of exercise, the risk for developing musculoskeletal injuries goes up as well. Stress fractures are one of the most serious injuries, it account for 6-20% of injuries in track and field athletes and long distance runners (4) . In runners, stress fracture are most commonly seen in the tibia, which requires an average of 8 weeks of recovery (2).

This post is about tibial stress fractures, what they are, how they occur, and some things your patients can do to help keep them at bay. 

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Does Running Cause Knee Arthritis- Review of Articles

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We all have had patients that ask us what they can do to prevent arthritis, or state- "I have been running for a few years and the doctor states that now I have arthritis." 

How do you usually answer? Do you agree or disagree with that statement?

Have you had patients who directly as you if running causes arthritis?  Are you comfortable answering that question?

If not this short article is for you and your patients who are seeking that answer.

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Part II: Running Mechanics- Top 4 Faults

In my last post we discussed some running gait pattern “norms”. I put that in quotations because as I mentioned before it is really difficult to normalize running gait.  However, anything that deviates too much from the closest thing to a standard can produce future problems.

So lets look at the top 4 common running mechanical deviations.  The goal is to help our patients understand what we look at when we are looking at their running gait, and what it may possible mean when we see these faults. The faults will lead us to decide on the proper treatment course. 

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