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Distinct hip and rearfoot kinematics in female runners with a history of tibial stress fracture
Journal article   Peer reviewed

Distinct hip and rearfoot kinematics in female runners with a history of tibial stress fracture

Clare E Milner, Joseph Hamill and Irene S Davis
The journal of orthopaedic and sports physical therapy, v 40(2), pp 59-66
Feb 2010
DOI: https://doi.org/10.2519/jospt.2010.3024
PMID: 20118528
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Adolescent Adult Biomechanical Phenomena Case-Control Studies Cumulative Trauma Disorders Female Foot Joints - physiology Foot Joints - physiopathology Fractures, Stress - etiology Fractures, Stress - physiopathology Hip Joint - physiology Hip Joint - physiopathology Humans Knee Joint - physiology Knee Joint - physiopathology Middle Aged Running - injuries Tibial Fractures - etiology Tibial Fractures - physiopathology Young Adult
Cross-sectional controlled laboratory study. To investigate the kinematics of the hip, knee, and rearfoot in the frontal and transverse planes in female distance runners with a history of tibial stress fracture. Tibial stress fractures are a common overuse injury in runners, accounting for up to half of all stress fractures. Abnormal kinematics of the lower extremity may contribute to abnormal musculoskeletal load distributions, leading to an increased risk of stress fractures. Thirty female runners with a history of tibial stress fracture were compared to 30 age-matched and weekly-running-distance-matched control subjects with no previous lower extremity bony injuries. Kinematic and kinetic data were collected using a motion capture system and a force platform, respectively, as subjects ran in the laboratory. Selected variables of interest were compared between the groups using a multivariate analysis of variance (MANOVA). Peak hip adduction and peak rearfoot eversion angles were greater in the stress fracture group compared to the control group. Peak knee adduction and knee internal rotation angles and all joint angles at impact peak were similar between the groups. Runners with a previous tibial stress fracture exhibited greater peak hip adduction and rearfoot eversion angles during the stance phase of running compared to healthy controls. A consequence of these mechanics may be altered load distribution within the lower extremity, predisposing individuals to stress fracture.

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80 citations in Web of Science
83 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Orthopedics
Rehabilitation
Sport Sciences
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