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In running 70% of the lower limb, injuries are produced in the running segment. The vast majority of sports-related musculoskeletal injuries in young athletes are caused by overuse. Previous research has shown a clear association between running-related injuries and kinematic patterns, showing the existence of a causal relationship between biomechanical alterations and injures.
According to the evidence, that real-time visual and auditory feedback based on gait retraining should be considered to treat injured runners or prevent injuries. However, no previous studies have been carried out on whether gait retraining decreases running-related injuries incidence in young triathletes.
The investigators propose a study to determine the effect of gait retraining on the decrease in the number of running-related injuries and improve the running efficiency in young triathletes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Gait Retraining Group | Experimental | Athletes from the Triathlon Plan in High Performance of the Valencian Community in Spain performing individual gait retraining sessions |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gait retraining | Other | 5 gait retraining sessions of continuous feedback in real time during running sessions; using videotape feedback, a digital metronome to increase step rate, and verbal feedback to reduce the tendency to heel strike upon ground contact. Verbal feedback is offered during the 25- to 30-minute running sessions following a series of drills aimed at improving running mechanics. |
| Measure | Description | Time Frame |
|---|---|---|
| Surface Electromyography | Mean activation amplitude of gluteus medius. | Baseline - 7 months |
| Measure | Description | Time Frame |
|---|---|---|
| 3D Kinematic Analysis | Peak angle at midstance defined as of the maximum pelvis joint angle between initial contact and toe-off. The tool to assess this variable would be an Inertial measurement unit (IMU) located at sacral vertebra S1 | Baseline - 7 months |
| Maximal Oxygen Consumption (VO2max) |
| Measure | Description | Time Frame |
|---|---|---|
| Self-report Questionnaire about Running-related injuries | By means of a self-report questionnaire according to previous research in triathletes to document the incidence of overuse injuries previous and post gait retraining protocol season. Higher scores (number of injuries) mean a worse outcome. | Baseline - 7 months |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Javier MartÃnez-Gramage, PhD | CEU Cardenal Herrera University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Juan J. Amer-Cuenca | Alfara del Patriarca | Valencia | 46113 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31657964 | Result | Bramah C, Preece SJ, Gill N, Herrington L. A 10% Increase in Step Rate Improves Running Kinematics and Clinical Outcomes in Runners With Patellofemoral Pain at 4 Weeks and 3 Months. Am J Sports Med. 2019 Dec;47(14):3406-3413. doi: 10.1177/0363546519879693. Epub 2019 Oct 28. | |
| 30193080 | Result | Bramah C, Preece SJ, Gill N, Herrington L. Is There a Pathological Gait Associated With Common Soft Tissue Running Injuries? Am J Sports Med. 2018 Oct;46(12):3023-3031. doi: 10.1177/0363546518793657. Epub 2018 Sep 7. |
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|
Oxygen Consumption during running |
| Baseline - 7 months |