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The influence of cadence and shoes on patellofemoral joint kinetics in runners with patellofemoral pain

journal contribution
posted on 01.06.2018, 00:00 authored by Jason BonacciJason Bonacci, M Hall, Aaron FoxAaron Fox, Natalie SaundersNatalie Saunders, T Shipsides, B Vicenzino
OBJECTIVES: To determine the effect of a combination of a minimalist shoe and increased cadence on measures of patellofemoral joint loading during running in individuals with patellofemoral pain. DESIGN: Within-participant repeated measures with four conditions presented in random order: (1) control shoe at preferred cadence; (2) control shoe with +10% cadence; (3) minimalist shoe at preferred cadence; (4) minimalist shoe with +10% cadence. METHODS: Fifteen recreational runners with patellofemoral pain ran on an instrumented treadmill while three-dimensional motion capture data were acquired. Peak patellofemoral joint stress, joint reaction force, knee extensor moment and knee joint angle during the stance phase of running were calculated. One-way repeated measures ANOVA was used to compare the control condition (1) to the three experimental conditions (2-4). RESULTS: Running in a minimalist shoe at an increased cadence reduced patellofemoral stress and joint reaction force on average by approximately 29% (p<0.001) compared to the control condition. Running in a minimalist shoe at preferred cadence reduced patellofemoral joint stress by 15% and joint reaction force by 17% (p<0.001), compared to the control condition. Running in control shoes at an increased cadence reduced patellofemoral joint stress and joint reaction force by 16% and 19% (p<0.001), respectively, compared to the control condition. CONCLUSIONS: In individuals with patellofemoral pain, running in a minimalist shoe at an increased cadence had the greatest reduction in patellofemoral joint loading compared to a control shoe at preferred cadence. This may be an effective intervention to modulate biomechanical factors related to patellofemoral pain.

History

Journal

Journal of science and medicine in sport

Volume

21

Issue

6

Pagination

574 - 578

Publisher

Elsevier

Location

Amsterdam, The Netherlands

ISSN

1440-2440

eISSN

1878-1861

Language

eng

Publication classification

C Journal article; C1 Refereed article in a scholarly journal

Copyright notice

2017, Sports Medicine Australia