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@physicaltherapyresearch
331 Likes11 Comments
331 Likes11 Comments

📚đŸ”Ŧ
Increase Running Step-Rate 10%
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INTRO: 
Excessive frontal-plane hip and pelvis movement have been frequently observed in runners with patellofemoral joint pain (PFJP). .
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Gait retaining interventions have been shown to be beneficial in runners with PFJP.
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Bramah et al. (2019) investigated whether a 10% increase in the running step rate influences frontal-plane kinematics of the hip and pelvis as well as clinical outcomes in runners with PFJP.
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METHODS: 
Runners with PFJP underwent 3D gait analysis to confirm the presence of aberrant frontal-plane hip and/or pelvis kinematics at baseline. .
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12 participants were eligible and invited to undergo the gait retraining intervention. .
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Running kinematics along with clinical outcomes of pain and functional outcomes were recorded at:
Baseline
4 weeks after
3 months after
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Gait retraining consisted of a single session where step rate was increased by 10% using an audible metronome. .
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Participants were asked to continue their normal running while self-monitoring their step rate using GPS smartwatch and audible metronome.
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RESULTS: 
Significant improvements in running kinematics and clinical outcomes were observed at 4-week and 3-month follow-up. .
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Significant reductions were observed in:
Peak contralateral pelvic drop
Hip adduction
Knee flexion
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Significant increases were found in:
Self-reported weekly running volume
Longest run pain-free
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Significant Improvements were found in:
Worst pain in the past week.
Lower Extremity Functional Scale.
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CONCLUSION: 
A 10% increase in step rate resulted in significant improvements in running kinematics, pain, and function in runners with PFJP. .
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These improvements were maintained at 3-month follow-up. .
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Thoughts? Questions? Comments?
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Write them below. .
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SOURCE:
Bramah, C., et al. 2019. A 10% Increase in Step Rate Improves Running Kinematics and Clinical Outcomes in Runners With Patellofemoral Pain at 4 Weeks and 3 Months. AJSM. 2019 October 28, : 363546519879693

05 Nov 2019

Comments
  • @motis_chiro

    Interesting 👍

    07 Nov 2019

  • @bo_brawner

    Did this study look at strength training. As another variable? Increase strength/endurance/ankle mobility/hip ROM?

    06 Nov 2019

  • @cprehab

    This makes me think about Esculier et al 2018 RCT where gait retraining and education shown no significant benefits over education only group. This sample size is quite small. I think we should be pragmatic and prioritise treatment options when it comes to treating runners. The best gait retraining would never overweight a well designed running plan (loading). Just my 2cents

    06 Nov 2019

  • @physicaltherapyresearch

    . . . #rehab #pain #painscience #physiology #physicaltherapy #physiotherapy #massage #orthopedic #chiropractic #medicine #sportsmedicine #science #research #health #wellness #nervoussystem #neuroscience #brain #physicaltherapyresearch #dpt #dptstudent #exercise #fitness #workout #runnersknee #runningrecovery #runningpain

    05 Nov 2019