Economy and rate of carbohydrate oxidation during running with rearfoot and forefoot strike patterns

Is There an Economical Running Technique? A Review of Modifiable Biomechanical Factors Affecting Running Economy

Running economy (RE) has a strong relationship with running performance, and modifiable running biomechanics are a determining factor of RE. The purposes of this review were to (1) examine the intrinsic and extrinsic modifiable biomechanical factors affecting RE; (2) assess training-induced changes in RE and running biomechanics; (3) evaluate whether an economical running technique can be recommended and; (4) discuss potential areas for future research. Based on current evidence, the intrinsic factors that appeared beneficial for RE were using a preferred stride length range, which allows for stride length deviations up to 3 % shorter than preferred stride length; lower vertical oscillation; greater leg stiffness; low lower limb moment of inertia; less leg extension at toe-off; larger stride angles; alignment of the ground reaction force and leg axis during propulsion; maintaining arm swing; low thigh antagonist–agonist muscular coactivation; and low activation of lower limb muscles during propulsion. Extrinsic factors associated with a better RE were a firm, compliant shoe–surface interaction and being barefoot or wearing lightweight shoes. Several other modifiable biomechanical factors presented inconsistent relationships with RE. Running biomechanics during ground contact appeared to play an important role, specifically those during propulsion. Therefore, this phase has the strongest direct links with RE. Recurring methodological problems exist within the literature, such as cross-comparisons, assessing variables in isolation, and acute to short-term interventions. Therefore, recommending a general economical running technique should be approached with caution. Future work should focus on interdisciplinary longitudinal investigations combining RE, kinematics, kinetics, and neuromuscular and anatomical aspects, as well as applying a synergistic approach to understanding the role of kinetics.

Comparison of muscle synergies for running between different foot strike patterns

It is well known that humans run with a fore-foot strike (FFS), a mid-foot strike (MFS) or a rear-foot strike (RFS). A modular neural control mechanism of human walking and running has been discussed in terms of muscle synergies. However, the neural control mechanisms for different foot strike patterns during running have been overlooked even though kinetic and kinematic differences between different foot strike patterns have been reported. Thus, we examined the differences in the neural control mechanisms of human running between FFS and RFS by comparing the muscle synergies extracted from each foot strike pattern during running. Muscle synergies were extracted using non-negative matrix factorization with electromyogram activity recorded bilaterally from 12 limb and trunk muscles in ten male subjects during FFS and RFS running at different speeds (5-15 km/h). Six muscle synergies were extracted from all conditions, and each synergy had a specific function and a single main peak of activity in a cycle. The six muscle synergies were similar between FFS and RFS as well as across subjects and speeds. However, some muscle weightings showed significant differences between FFS and RFS, especially the weightings of the tibialis anterior of the landing leg in synergies activated just before touchdown. The activation patterns of the synergies were also different for each foot strike pattern in terms of the timing, duration, and magnitude of the main peak of activity. These results suggest that the central nervous system controls running by sending a sequence of signals to six muscle synergies. Furthermore, a change in the foot strike pattern is accomplished by modulating the timing, duration and magnitude of the muscle synergy activity and by selectively activating other muscle synergies or subsets of the muscle synergies.

Joint stiffness and running economy during imposed forefoot strike before and after a long run in rearfoot strike runners

Research has focused on the effects of acute strike pattern modifications on lower extremity joint stiffness and running economy (RE). Strike pattern modifications on running biomechanics have mostly been studied while runners complete short running bouts. This study examined the effects of an imposed forefoot strike (FFS) on RE and ankle and knee joint stiffness before and after a long run in habitual rearfoot strike (RFS) runners. Joint kinetics and RE were collected before and after a long run. Sagittal joint kinetics were computed from kinematic and ground reaction force data that were collected during over-ground running trials in 13 male runners. RE was measured during treadmill running. Knee flexion range of motion, knee extensor moment and ankle joint stiffness were lower while plantarflexor moment and knee joint stiffness were greater during imposed FFS compared with RFS. The long run did not influence the difference in ankle and knee joint stiffness between strike patterns. Runners were more economical during RFS than imposed FFS and RE was not influenced by the long run. These findings suggest that using a FFS pattern towards the end of a long run may not be mechanically or metabolically beneficial for well-trained male RFS runners.

Effects of a structured midsole on spatio-temporal variables and running economy in overground running

Research to enhance running performance has led to the design of a leaf spring-structured midsole shoe (LEAF). In treadmill running, it has been shown that LEAF led to an increased running economy and increased stride length (SL) through a horizontal foot shift during stance compared to a standard foam shoe (FOAM). The purpose of this study was to analyse whether (a) these findings can also be observed in overground running and (b) relations exist between spatio-temporal variables and running economy. Ten male long-distance heel-strike runners ran at their individual 2 mmol/l blood lactate speed with LEAF and FOAM in randomized order. Kinematic data were recorded with an inertial measurement unit synchronized with 2D video. Oxygen consumption was measured using an automated metabolic gas analysis system. Blood lactate was collected after each run. The strike pattern was unaffected by LEAF. SL was increased by 0.9 ± 1.1 cm (95% CI 0.2 to 1.5; p = .040; d_z = 0.76), stride rate (SR) was reduced by -0.4 ± 0.3 strides/min (95% CI -0.6 to -0.1; p = .029; d_z = 0.82) and oxygen consumption tended to be reduced by 1% (-0.4 ± 0.6 ml/min/kg; 95% CI -0.8 to 0.0; p = .082; d_z = 0.62) when running with LEAF compared to FOAM. Changes in oxygen consumption in LEAF were correlated with SL (r = 0.71; p = .022) and SR (r = -0.68; p = .031). It can be concluded that LEAF has the potential to cause small changes in spatio-temporal variables during running. Runners increasing SL and decreasing SR in response to LEAF can achieve small improvements in running economy, which is beneficial in terms of performance.

Redistribution of Mechanical Work at the Knee and Ankle Joints During Fast Running in Minimalist Shoes

CONTEXT

Minimalist shoes have been suggested as a way to alter running biomechanics to improve running performance and reduce injuries. However, to date, researchers have only considered the effect of minimalist shoes at slow running speeds.

OBJECTIVE

To determine if runners change foot-strike pattern and alter the distribution of mechanical work at the knee and ankle joints when running at a fast speed in minimalist shoes compared with conventional running shoes.

DESIGN

Crossover study.

SETTING

Research laboratory.

PATIENTS OR OTHER PARTICIPANTS

Twenty-six trained runners (age = 30.0 ± 7.9 years [age range, 18-40 years], height = 1.79 ± 0.06 m, mass = 75.3 ± 8.2 kg, weekly training distance = 27 ± 15 km) who ran with a habitual rearfoot foot-strike pattern and had no experience running in minimalist shoes.

INTERVENTION(S)

Participants completed overground running trials at 18 km/h in minimalist and conventional shoes.

MAIN OUTCOME MEASURE(S)

Sagittal-plane kinematics and joint work at the knee and ankle joints were computed using 3-dimensional kinematic and ground reaction force data. Foot-strike pattern was classified as rearfoot, midfoot, or forefoot strike based on strike index and ankle angle at initial contact.

RESULTS

We observed no difference in foot-strike classification between shoes (χ²₁ = 2.29, P = .13). Ankle angle at initial contact was less (2.46° versus 7.43°; t₂₅ = 3.34, P = .003) and strike index was greater (35.97% versus 29.04%; t₂₅ = 2.38, P = .03) when running in minimalist shoes compared with conventional shoes. We observed greater negative (52.87 J versus 42.46 J; t₂₄ = 2.29, P = .03) and positive work (68.91 J versus 59.08 J; t₂₄ = 2.65, P = .01) at the ankle but less negative (59.01 J versus 67.02 J; t₂₄ = 2.25, P = .03) and positive work (40.37 J versus 47.09 J; t₂₄ = 2.11, P = .046) at the knee with minimalist shoes compared with conventional shoes.

CONCLUSIONS

Running in minimalist shoes at a fast speed caused a redistribution of work from the knee to the ankle joint. This finding suggests that runners changing from conventional to minimalist shoes for short-distance races could be at an increased risk of ankle and calf injuries but a reduced risk of knee injuries.

Simulating Ideal Assistive Devices to Reduce the Metabolic Cost of Running

Tools have been used for millions of years to augment the capabilities of the human body, allowing us to accomplish tasks that would otherwise be difficult or impossible. Powered exoskeletons and other assistive devices are sophisticated modern tools that have restored bipedal locomotion in individuals with paraplegia and have endowed unimpaired individuals with superhuman strength. Despite these successes, designing assistive devices that reduce energy consumption during running remains a substantial challenge, in part because these devices disrupt the dynamics of a complex, finely tuned biological system. Furthermore, designers have hitherto relied primarily on experiments, which cannot report muscle-level energy consumption and are fraught with practical challenges. In this study, we use OpenSim to generate muscle-driven simulations of 10 human subjects running at 2 and 5 m/s. We then add ideal, massless assistive devices to our simulations and examine the predicted changes in muscle recruitment patterns and metabolic power consumption. Our simulations suggest that an assistive device should not necessarily apply the net joint moment generated by muscles during unassisted running, and an assistive device can reduce the activity of muscles that do not cross the assisted joint. Our results corroborate and suggest biomechanical explanations for similar effects observed by experimentalists, and can be used to form hypotheses for future experimental studies. The models, simulations, and software used in this study are freely available at simtk.org and can provide insight into assistive device design that complements experimental approaches.

The effect of minimalist, maximalist and energy return footwear of equal mass on running economy and substrate utilisation

The aim of the current study was to explore the effects of minimalist, maximalist and energy return footwear of equal mass on economy and substrate utilisation during steady state running. Ten male runners completed 6 min steady state runs in minimalist, maximalist and energy return footwear. The mass of the footwear was controlled by adding lead tape to the lighter shoes. Running economy, shoe comfort, rating of perceived exertion and % contribution of carbohydrate to total calorie expenditure were assessed. Participants also subjectively indicated which shoe condition they preferred for running. Differences in shoe comfort and physiological parameters were examined using paired samples t-tests, whilst shoe preferences were tested using a chi-square test. The results showed firstly that running economy was significantly improved in the energy return (35.9 ml∙kg/min) compared to minimalist footwear (37.8 ml∙kg/min). In addition % carbohydrate was significantly greater in the minimalist (76.4%) in comparison to energy return footwear (72.9%). As running economy was improved and carbohydrate utilisation reduced in the energy return in comparison to minimalist footwear, the current investigation shows that these footwear are more economical when shoe mass is controlled.

An Evidence-Based Videotaped Running Biomechanics Analysis

Running biomechanics play an important role in the development of injuries. Performing a running biomechanics analysis on injured runners can help to develop treatment strategies. This article provides a framework for a systematic video-based running biomechanics analysis plan based on the current evidence on running injuries, using 2-dimensional (2D) video and readily available tools. Fourteen measurements are proposed in this analysis plan from lateral and posterior video. Identifying simple 2D surrogates for 3D biomechanic variables of interest allows for widespread translation of best practices, and have the best opportunity to impact the highly prevalent problem of the injured runner.

Ankle and knee kinetics between strike patterns at common training speeds in competitive male runners

The purpose of this study was to investigate the interaction of foot strike and common speeds on sagittal plane ankle and knee joint kinetics in competitive rear foot strike (RFS) runners when running with a RFS pattern and an imposed forefoot strike (FFS) pattern. Sixteen competitive habitual male RFS runners ran at two different speeds (i.e. 8 and 6 min mile(-1)) using their habitual RFS and an imposed FFS pattern. A repeated measures analysis of variance was used to assess a potential interaction between strike pattern and speed for selected ground reaction force (GRF) variables and, sagittal plane ankle and knee kinematic and kinetic variables. No foot strike and speed interaction was observed for any of the kinetic variables. Habitual RFS yielded a greater loading rate of the vertical GRF, peak ankle dorsiflexor moment, peak knee extensor moment, peak knee eccentric extensor power, peak dorsiflexion and sagittal plane knee range of motion compared to imposed FFS. Imposed FFS yielded greater maximum vertical GRF, peak ankle plantarflexor moment, peak ankle eccentric plantarflexor power and sagittal plane ankle ROM compared to habitual RFS. Consistent with previous literature, imposed FFS in habitual RFS reduces eccentric knee extensor and ankle dorsiflexor involvement but produce greater eccentric ankle plantarflexor action compared to RFS. These acute differences between strike patterns were independent of running speeds equivalent to typical easy and hard training runs in competitive male runners. Current findings along with previous literature suggest differences in lower extremity kinetics between habitual RFS and imposed FFS running are consistent among a variety of runner populations.

Variation in Foot Strike Patterns among Habitually Barefoot and Shod Runners in Kenya

Runners are often categorized as forefoot, midfoot or rearfoot strikers, but how much and why do individuals vary in foot strike patterns when running on level terrain? This study used general linear mixed-effects models to explore both intra- and inter-individual variations in foot strike pattern among 48 Kalenjin-speaking participants from Kenya who varied in age, sex, body mass, height, running history, and habitual use of footwear. High speed video was used to measure lower extremity kinematics at ground contact in the sagittal plane while participants ran down 13 meter-long tracks with three variables independently controlled: speed, track stiffness, and step frequency. 72% of the habitually barefoot and 32% of the habitually shod participants used multiple strike types, with significantly higher levels of foot strike variation among individuals who ran less frequently and who used lower step frequencies. There was no effect of sex, age, height or weight on foot strike angle, but individuals were more likely to midfoot or forefoot strike when they ran on a stiff surface, had a high preferred stride frequency, were habitually barefoot, and had more experience running. It is hypothesized that strike type variation during running, including a more frequent use of forefoot and midfoot strikes, used to be greater before the introduction of cushioned shoes and paved surfaces.

Reduced oxygen cost of running is related to alignment of the resultant GRF and leg axis vector: A pilot study

This pilot study investigated whether a 10-week running program (10wkRP), which reduced the oxygen cost of running, affected resultant ground reaction force (GRF), leg axis alignment, joint moment characteristics, and gear ratios. Ten novice, female runners completed a 10wkRP. Running kinematics and kinetics, in addition to oxygen consumption ( V ˙ O 2 ) during steady-state running, were recorded pre- and post-10wkRP. V ˙ O 2 decreased (8%) from pre-10wkRP to post-10wkRP. There was a better alignment of the resultant GRF and leg axis at peak propulsion post-10wkRP compared with pre-10wkRP (10.8 ± 4.9 vs 1.6 ± 1.2°), as the resultant GRF vector was applied 7 ± 0.6° (P = 0.008) more horizontally. There were shorter external ankle moment arms (24%) and smaller knee extensor moments (23%) at peak braking post-10wkRP. The change in V ˙ O 2 was associated with the change in alignment of the resultant GRF and leg axis (rs  = 0.88, P = 0.003). As runners became more economical, they exhibited a more aligned resultant GRF vector and leg axis at peak propulsion. This appears to be a self-optimization strategy that may improve performance. Additionally, changes to external ankle moment arms indicated beneficial low gear ratios were achieved at the time of peak braking force.

Eight weeks gait retraining in minimalist footwear has no effect on running economy

PURPOSE

To evaluate the effects of an eight week combined minimalist footwear (MFW) and gait-retraining intervention on running economy (RE) and kinematics in conventional footwear runners.

METHODS

Twenty-three trained male runners (age: 43 ± 10 years, stature: 177.2 ± 9.2 cm, body mass: 72.8 ± 10.2 kg, V̇O2max: 56.5 ± 7.0 mL min(-1) kg(-1)) were recruited. Participants were assigned to either an intervention group (n = 13) who gradually increased exposure to MFW and also implemented gait-retraining over an eight week period. RE and kinematics were measured in both MFW and conventional running shoes (CRS) at pre-tests and eight weeks, in a random order. In contrast the control group (n = 10) had no MFW exposure or gait retraining and were only tested in CRS.

RESULTS

The MFW and gait re-training intervention had no effect on RE (p < .001). However, RE was significantly better in MFW (mean difference 2.72%; p = .002) at both pre and post-tests compared to CRS. Step frequency increased as a result of the intervention (+5.7 steps per minute [spm]; p < .001), and was also significantly higher in MFW vs. CRS (+7.5 spm; p < .001).

CONCLUSION

Whilst a better RE in MFW was observed when compared to CRS due to shoe mass, familiarization to MFW with gait-retraining was not found to influence RE.

Running economy: measurement, norms, and determining factors

Running economy (RE) is considered an important physiological measure for endurance athletes, especially distance runners. This review considers 1) how RE is defined and measured and 2) physiological and biomechanical factors that determine or influence RE. It is difficult to accurately ascertain what is good, average, and poor RE between athletes and studies due to variation in protocols, gas-analysis systems, and data averaging techniques. However, representative RE values for different caliber of male and female runners can be identified from existing literature with mostly clear delineations in oxygen uptake across a range of speeds in moderately and highly trained and elite runners. Despite being simple to measure and acceptably reliable, it is evident that RE is a complex, multifactorial concept that reflects the integrated composite of a variety of metabolic, cardiorespiratory, biomechanical and neuromuscular characteristics that are unique to the individual. Metabolic efficiency refers to the utilization of available energy to facilitate optimal performance, whereas cardiopulmonary efficiency refers to a reduced work output for the processes related to oxygen transport and utilization. Biomechanical and neuromuscular characteristics refer to the interaction between the neural and musculoskeletal systems and their ability to convert power output into translocation and therefore performance. Of the numerous metabolic, cardiopulmonary, biomechanical and neuromuscular characteristics contributing to RE, many of these are able to adapt through training or other interventions resulting in improved RE.

Relationship between running speed and initial foot contact patterns

PURPOSE

This study assessed initial foot contact patterns (IFCP) in a large group of distance runners and the effect of speed on the IFCP.

METHODS

We determined the strike index to classify the runners in IFCP groups, at four speeds (3.2, 4.1, 5.1, and 6.2 m·s), by measuring center of pressure (COP) with a 2-m plantar pressure plate. Such a system allows a direct localization of the COP on the plantar footprint and has a low threshold value (2.7 N·cm), resulting in more accurate COP data at low ground reaction forces than when obtained from force plate.

RESULTS

The IFCP distribution evolves from mostly initial rearfoot contact (IRFC) (82%) at 3.2 m·s to more anterior foot contacts with an approximately equal distribution of IRFC (46%) and initial midfoot or forefoot contact (54%) at 6.2 m·s. Approximately 44% of the IRFC runners showed atypical COP patterns with a fast anterior displacement of the COP along the lateral shoe margin. Apart from the different COP patterns, these atypical IRFC were also characterized by a significantly higher instantaneous vertical loading rate than the typical IRFC patterns.

CONCLUSIONS

The IFCP distribution changes were due to intraindividual alterations in IFCP at higher speeds. That is, 45% of the runners made one or even two "transitions" toward a more anterior IFCP (and 3% shows some other type of transition between initial foot contact styles as speed increases). However, 52% of the runners remained with the same IFCP.

Rearfoot striking runners are more economical than midfoot strikers

PURPOSE

This study aimed to analyze the influence of foot strike pattern on running economy and biomechanical characteristics in subelite runners with a similar performance level.

METHODS

Twenty subelite long-distance runners participated and were divided into two groups according to their foot strike pattern: rearfoot (RF, n = 10) and midfoot (MF, n = 10) strikers. Anthropometric characteristics were measured (height, body mass, body mass index, skinfolds, circumferences, and lengths); physiological (VO2max, anaerobic threshold, and running economy) and biomechanical characteristics (contact and flight times, step rate, and step length) were registered during both incremental and submaximal tests on a treadmill.

RESULTS

There were no significant intergroup differences in anthropometrics, VO2max, or anaerobic threshold measures. RF strikers were 5.4%, 9.3%, and 5.0% more economical than MF at submaximal speeds (11, 13, and 15 km·h respectively, although the difference was not significant at 15 km·h, P = 0.07). Step rate and step length were not different between groups, but RF showed longer contact time (P < 0.01) and shorter flight time (P < 0.01) than MF at all running speeds.

CONCLUSIONS

The present study showed that habitually rearfoot striking runners are more economical than midfoot strikers. Foot strike pattern affected both contact and flight times, which may explain the differences in running economy.

Setting standards for medically-based running analysis

Setting standards for medically based running analyses is necessary to ensure that runners receive a high-quality service from practitioners. Medical and training history, physical and functional tests, and motion analysis of running at self-selected and faster speeds are key features of a comprehensive analysis. Self-reported history and movement symmetry are critical factors that require follow-up therapy or long-term management. Pain or injury is typically the result of a functional deficit above or below the site along the kinematic chain.

Ankle plantarflexion strength in rearfoot and forefoot runners: a novel clusteranalytic approach

The purpose of the present study was to test for differences in ankle plantarflexion strengths of habitually rearfoot and forefoot runners. In order to approach this issue, we revisit the problem of classifying different footfall patterns in human runners. A dataset of 119 subjects running shod and barefoot (speed 3.5m/s) was analyzed. The footfall patterns were clustered by a novel statistical approach, which is motivated by advances in the statistical literature on functional data analysis. We explain the novel statistical approach in detail and compare it to the classically used strike index of Cavanagh and Lafortune (1980). The two groups found by the new cluster approach are well interpretable as a forefoot and a rearfoot footfall groups. The subsequent comparison study of the clustered subjects reveals that runners with a forefoot footfall pattern are capable of producing significantly higher joint moments in a maximum voluntary contraction (MVC) of their ankle plantarflexor muscles tendon units; difference in means: 0.28Nm/kg. This effect remains significant after controlling for an additional gender effect and for differences in training levels. Our analysis confirms the hypothesis that forefoot runners have a higher mean MVC plantarflexion strength than rearfoot runners. Furthermore, we demonstrate that our proposed stochastic cluster analysis provides a robust and useful framework for clustering foot strikes.

A simple field method to identify foot strike pattern during running

Identifying foot strike patterns in running is an important issue for sport clinicians, coaches and footwear industrials. Current methods allow the monitoring of either many steps in laboratory conditions or only a few steps in the field. Because measuring running biomechanics during actual practice is critical, our purpose is to validate a method aiming at identifying foot strike patterns during continuous field measurements. Based on heel and metatarsal accelerations, this method requires two uniaxial accelerometers. The time between heel and metatarsal acceleration peaks (THM) was compared to the foot strike angle in the sagittal plane (αfoot) obtained by 2D video analysis for various conditions of speed, slope, footwear, foot strike and state of fatigue. Acceleration and kinematic measurements were performed at 1000Hz and 120Hz, respectively, during 2-min treadmill running bouts. Significant correlations were observed between THM and αfoot for 14 out of 15 conditions. The overall correlation coefficient was r=0.916 (P<0.0001, n=288). The THM method is thus highly reliable for a wide range of speeds and slopes, and for all types of foot strike except for extreme forefoot strike during which the heel rarely or never strikes the ground, and for different footwears and states of fatigue. We proposed a classification based on THM: FFS<-5.49ms<MFS<15.2ms<RFS. With only a few precautions being necessary to ensure appropriate use of this method, it is reliable for distinguishing rearfoot and non-rearfoot strikers in situ.