Refine
Document Type
Conference Type
- Konferenzartikel (2)
Language
- English (5)
Has Fulltext
- no (5)
Is part of the Bibliography
- yes (5)
Keywords
- footwear (2)
- Achilles tendonitis (1)
- Orthopedics (1)
- carbon fiber (1)
- hardness (1)
- injury prevention (1)
- insoles (1)
- metatarsals (1)
- overuse injuries (1)
- overuse injury (1)
Institute
- Fakultät Maschinenbau und Verfahrenstechnik (M+V) (5) (remove)
Open Access
- Closed Access (3)
- Closed (1)
- Open Access (1)
Running footwear is continuously being modified and improved; however, running-related overuse injury rates remain high. Nevertheless, novel manufacturing processes enable the production of individualized running shoes that can fit the individual needs of runners, with the potential to reduce injury risk. For this reason, it is essential to investigate functional groups of runners, a collective of runners who respond similarly to a footwear intervention. Therefore, the objective of this study was to develop a framework to identify functional groups based on their individual footwear response regarding injury-specific running-related risk factors for Achilles tendinopathy, Tibial stress fractures, Medial tibial stress syndrome, and Patellofemoral pain syndrome. In this work, we quantified the footwear response patterns of 73 female and male participants when running in three different footwear conditions using unsupervised learning (k-means clustering). For each functional group, we identified the footwear conditions minimizing the injury-specific risk factors. We described differences in the functional groups regarding their running style, anthropometric, footwear perception, and demographics. The results implied that most functional groups showed a tendency for a single footwear condition to reduce most biomechanical risk factors for a specific overuse injury. Functional groups often differed in their hip and pelvis kinematics as well as their subjective rating of the footwear conditions. The footwear intervention only partially affected biomechanical risk factors attributed to more proximal joints. Due to its adaptive nature, the framework could be applied to other footwear interventions or performance-related biomechanical variables.
Objective: To identify and evaluate the evidence of the most relevant running-related risk factors (RRRFs) for running-related overuse injuries (ROIs) and to suggest future research directions.
Design: Systematic review considering prospective and retrospective studies. (PROSPERO_ID: 236832)
Data sources: Pubmed. Connected Papers. The search was performed in February 2021.
Eligibility criteria: English language. Studies on participants whose primary sport is running addressing the risk for the seven most common ROIs and at least one kinematic, kinetic (including pressure measurements), or electromyographic RRRF. An RRRF needed to be identified in at least one prospective or two retrospective studies.
Results: Sixty-two articles fulfilled our eligibility criteria. Levels of evidence for specific ROIs ranged from conflicting to moderate evidence. Running populations and methods applied varied considerably between studies. While some RRRFs appeared for several ROIs, most RRRFs were specific for a particular ROI. The biomechanical measurements performed in many studies would have allowed for consideration of many more RRRFs than have been reported, highlighting a potential for more effective data usage in the future.
Conclusion: This study offers a comprehensive overview of RRRFs for the most common ROIs, which might serve as a starting point to develop ROI-specific risk profiles of individual runners. Future work should use macroscopic (big data) approaches involving long-term data collections in the real world and microscopic approaches involving precise stress calculations using recent developments in biomechanical modelling. However, consensus on data collection standards (including the quantification of workload and stress tolerance variables and the reporting of injuries) is warranted.
This study aims to investigate the individual response concerning BRFs for AT when the mid-sole hardness underneath the rearfoot was systematically altered. We first identified FGs based on the footwear condition that minimised the risk for AT across BRFs. We then tested the FGs for differences in anthropometrics, footwear comfort, and running characteristics.
Quantifying the midsole material characteristics of athletic footwear is a standard task in footwear research and development. Current material testing protocols primarily focus on the determination of cushioning properties of the heel region or the quantification of the midsole properties as one assembly. However, midsoles possess different spatial material properties that have not been quantified from previous methodologies. Therefore, new material testing methods are required to quantify the local material response of athletic footwear. We developed a cyclical force-controlled material testing protocol for the determination of non-homogeneously distributed material stiffness with a high spatial resolution. In five prototype shoes varying in their stiffness distribution, we found that the material properties can be reliably measured across the midsole. Furthermore, we observed a characteristic non-linear material response regardless of the midsole location. We found that the material stiffness increased with an increase of the applied force and that this effect is further intensified by higher testing cycles. Additionally, the obtained midsole stiffness depends on the geometry of the midsole. We explored different approaches to reduce the measurement time of the testing protocol and found that the number of measurements can be reduced by 70% using 2 D-interpolation procedures. Determining the spatial material properties of midsoles needs to be considered to understand foot-shoe interactions. Furthermore, this measurement protocol can be used for quality control within the footwear and can be adapted for considering the effects of different running styles or speeds on ground force application characteristics.