Article Text

PDF
Response to: ’Optimising the efficacy of gait retraining'
  1. Jean-Francois Esculier1,2,
  2. Blaise Dubois2,3,
  3. Jean-Sébastien Roy3,4
  1. 1Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
  2. 2The Running Clinic, Lac-Beauport, Quebec, Canada
  3. 3Faculty of Medicine, Laval University, Quebec City, Quebec, Canada
  4. 4Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada
  1. Correspondence to Dr Jean-Francois Esculier, Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z3, Canada; jean-francois.esculier{at}ubc.ca

Statistics from Altmetric.com

A recent editorial was published in BJSM1 following a randomised clinical trial (RCT) conducted by our research team, which compared three rehabilitation programmes in runners with patellofemoral pain (PFP).2 In Dr Davis’ editorial, it was stated that our running intervention was not optimal due to a heterogeneous sample, unstandardised gait modifications and unstructured retraining schedule. While several interesting arguments were presented, readers must keep in mind that the current level of evidence on gait retraining for injured runners is far from conclusive.

Heterogeneous sample

Previous studies on gait retraining for runners with PFP have addressed specific running mechanics such as rearfoot striking or excessive hip adduction.3 4 However, not all runners with PFP show ‘altered’ mechanics, and PFP is not specific to rearfoot strikers (non-rearfoot strikers also develop PFP). In fact, training errors are thought to contribute to running injuries even in those with ‘optimal’ mechanics.5 Aiming to maximise the external validity of our RCT, we included runners regardless of distal or proximal kinematics, and prescribed individualised …

View Full Text

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.