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

    Author(s)
    Bonacci, Jason
    Hall, Michelle
    Fox, Aaron
    Saunders, Natalie
    Shipsides, Tristan
    Vicenzino, Bill
    Griffith University Author(s)
    Hall, Michelle
    Year published
    2018
    Metadata
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    Abstract
    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 ...
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    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.
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    Journal Title
    JOURNAL OF SCIENCE AND MEDICINE IN SPORT
    Volume
    21
    Issue
    6
    DOI
    https://doi.org/10.1016/j.jsams.2017.09.593
    Subject
    Sports science and exercise
    Medical physiology
    Health services and systems
    Public health
    Publication URI
    http://hdl.handle.net/10072/385392
    Collection
    • Journal articles

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