Article Text

Download PDFPDF
A prospective study on gait-related intrinsic risk factors for lower leg overuse injuries


Objective: To determine prospectively gait-related risk factors for lower leg overuse injury (LLOI).

Design: A prospective cohort study.

Setting: Male and female recruits from a start-to-run (STR) programme during a 10-week training period.

Participants: 131 healthy subjects (20 men and 111 women), without a history of any lower leg complaint, participated in the study.

Interventions: Before the start of the 10-week STR programme, plantar force measurements during running were performed. During STR, lower leg injuries were diagnosed and registered by a sports physician.

Main Outcome Measures: Plantar force measurements during running were performed using a footscan pressure plate.

Results: During the STR, 27 subjects (five men and 22 women) developed a LLOI. Logistic regression analysis revealed that subjects who developed a LLOI had a significantly more laterally directed force distribution at first metatarsal contact and forefoot flat, a more laterally directed force displacement in the forefoot contact phase, foot flat phase and at heel-off. These subjects also had a delayed change of the centre of force (COF) at forefoot flat, a higher force and loading underneath the lateral border of the foot, and a significantly higher directed force displacement of the COF at forefoot flat.

Conclusions: These findings suggest that a less pronated heel strike and a more laterally directed roll-off can be considered as risk factors for LLOI. Clinically, the results of this study can be considered important in identifying individuals at risk of LLOI.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.