Take your shoes off to reduce patellofemoral joint stress during running

被引:98
作者
Bonacci, Jason [1 ]
Vicenzino, Bill [2 ]
Spratford, Wayne [3 ]
Collins, Paul [4 ]
机构
[1] Deakin Univ, Sch Exercise & Nutr Sci, Ctr Exercise & Sports Sci, Geelong, Vic 3216, Australia
[2] Univ Queensland, Div Physiotherapy, Brisbane, Qld, Australia
[3] Australian Inst Sport, Dept Movement Sci, Canberra, ACT, Australia
[4] Deakin Univ, Sch Engn, Geelong, Vic 3216, Australia
关键词
CONTACT AREA; FAST WALKING; BAREFOOT; PAIN; RUNNERS; GAIT; HIP; KINEMATICS; MECHANICS; PATTERNS;
D O I
10.1136/bjsports-2013-092160
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Aim Elevated patellofemoral joint stress is thought to contribute to the development and progression of patellofemoral pain syndrome. The purpose of this study was to determine if running barefoot decreases patellofemoral joint stress in comparison to shod running. Methods Lower extremity kinematics and ground reaction force data were collected from 22 trained runners during overground running while barefoot and in a neutral running shoe. The kinematic and kinetic data were used as input variables into a previously described mathematical model to determine patellofemoral joint stress. Knee flexion angle, net knee extension moment and the model outputs of contact area, patellofemoral joint reaction force and patellofemoral joint stress were plotted over the stance phase of the gait cycle and peak values compared using paired t tests and standardised mean differences calculated. Results Running barefoot decreased peak patellofemoral joint stress by 12% (p=0.000) in comparison to shod running. The reduction in patellofemoral joint stress was a result of reduced patellofemoral joint reaction forces (12%, p=0.000) while running barefoot. Conclusions Elevated patellofemoral joint stress during shod running might contribute to patellofemoral pain. Running barefoot decreases patellofemoral joint stress.
引用
收藏
页码:425 / U107
页数:5
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