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Gait Analysis

The Running Gait Cycle

 The running gait cycle describes the sequence of movements that occurs when a runner takes a single step, beginning when one foot makes initial contact with the ground and ending when that same foot contacts the ground again. It is divided into two primary phases:

  • Stance Phase (approximately 40% of the cycle): The period during which the foot is in contact with the ground, supporting body weight and generating force.  
    • Initial Contact: The foot first touches the ground (heel, mid-foot, or forefoot strike patterns vary among individuals). Muscles (quadriceps, gluteus) work eccentrically to absorb the impact and control movement. This is when the peak ground reaction forces (GRF) are experienced.
    • Mid-stance: The body's center of mass passes directly over the supporting foot. The body transitions from absorbing force to generating force.
    • Toe-off : The heel lifts off the ground, and the body is driven forward and upward as the hip, knee, and ankle extend.
  • Swing Phase (approximately 60% of the cycle): The period during which the foot is not in contact with the ground and is moving forward to prepare for the next initial contact. This phase includes a unique subphase that differentiates running from walking:
    • Float/Flight Phase: A moment when both feet are off the ground simultaneously.

Possible Injuries Associated with Running Gait

Injury Common Biomechanical Causes/Risk Factors

 

Most running-related injuries are overuse injuries caused by repetitive microtrauma and the overloading of musculoskeletal structures. Poor biomechanics can concentrate stress on specific areas, leading to common problems.


Patellofemoral Pain Syndrome (Runner's Knee): Poor patellar tracking, weak hip abductors, insufficient core strength, and improper foot strike patterns. A greater knee extension at initial contact and excessive internal rotation of the femur have been implicated.


Medial Tibial Stress Syndrome (Shin Splints):  Overpronation (excessive inward rolling of the foot), inadequate footwear, sudden increases in training intensity, and high peak ground reaction forces.


Plantar Fasciitis: Overpronation, tight calf muscles, high arches, and poor load management. The condition is often related to the failure of the fascia to support loads, especially during the push-off phase.


Achilles Tendinopathy: Overpronation, tight calf muscles, and overuse are common factors. Repetitive, high eccentric loading on the Achilles tendon, particularly during push-off, contributes to this injury.


Iliotibial Band (ITB) Syndrome: Weak hip abductors (muscles on the side of the hip), improper foot strike patterns, a drop in the pelvis on the non-stance side, and "scissoring" (legs crossing the midline) are common contributors.


Stress Fractures: High mechanical load on bones, insufficient bone remodeling capacity, and sudden increases in training volume.

What does it all mean?

Running gait analysis is a crucial tool for identifying abnormal movement patterns that increase injury risk. Biomechanical factors such as overstriding (landing with the foot too far in front of the body), excessive vertical oscillation ("bobbing" up and down), and poor pelvic control significantly impact injury susceptibility. Addressing these issues through targeted strength training, gait retraining, and appropriate footwear choices, often with the guidance of a physiotherapist or running coach, can help runners reduce risk and maintain a healthy, efficient stride. 

Cite

 Willwacher, S., Kurz, M., Robbin, J., Thelen, M., Hamill, J., Kelly, L., & Mai, P. (2022). Running-Related Biomechanical Risk Factors for Overuse Injuries in Distance Runners: A Systematic Review Considering Injury Specificity and the Potentials for Future Research. Sports medicine (Auckland, N.Z.), 52(8), 1863–1877. https://doi.org/10.1007/s40279-022- 

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