Mitchell Cameron, McDonnell Sarah, Oganezova Karina, Mockler David, Fleming Neil
Department of Anatomy, School of Medicine, Trinity College, The University of Dublin, Dublin, Ireland.
John Stearne Medical Library, Trinity Centre for Health Sciences, School of Medicine, St. James's Hospital, Dublin, Ireland.
Sports Biomech. 2025 May;24(5):1143-1167. doi: 10.1080/14763141.2023.2236058. Epub 2023 Jul 21.
The surface upon which running is performed has been suggested as a potential cause of many running-related injuries. It remains unclear, however, what effect surface compliance has on running biomechanics. This study aimed to investigate the effect of surface compliance on overground running biomechanics through a systematic review and meta-analysis. Using the PRISMA Protocols Statement, a search was conducted in three electronic databases (CINAHL, EMBASE, EBSCO) using the following anchoring terms: running, overground surface, biomechanics, kinematics, tibial acceleration, pressure and force. Following de-duplication, title/abstract screening and full-text review, 25 articles ( = 492) were identified which met all inclusion criteria, 22 ( = 392) of which were subsequently included in quantitative synthesis. Random effects analysis found that peak tibial acceleration was significantly lower when running on softer surfaces ( = 0.01, Z = 2.51; SMD = -0.8; 95% CI =-1.42 to -0.18). However, peak vertical ground reaction force, loading rate and ground contact time were not significantly different when comparing hard and soft surfaces. Since peak tibial acceleration has been associated with an increased risk of tibial stress injuries, the results of this meta-analysis suggest that running on softer surfaces to reduce impact stress on the tibia is probably justified to lower the risk of running-related stress injuries.
跑步所使用的地面被认为是许多与跑步相关损伤的一个潜在原因。然而，地面顺应性对跑步生物力学有何影响仍不清楚。本研究旨在通过系统评价和荟萃分析来探究地面顺应性对室外跑步生物力学的影响。按照PRISMA协议声明，在三个电子数据库（CINAHL、EMBASE、EBSCO）中进行检索，使用以下锚定词：跑步、室外地面、生物力学、运动学、胫骨加速度、压力和力。经过去重、标题/摘要筛选和全文评审，确定了25篇文章（n = 492）符合所有纳入标准，其中22篇（n = 392）随后被纳入定量合成分析。随机效应分析发现，在较软地面上跑步时，胫骨加速度峰值显著更低（p = 0.01，Z = 2.51；标准化均值差 = -0.8；95%置信区间 = -1.42至 -0.18）。然而，比较硬地面和软地面时，垂直地面反力峰值、负荷率和地面接触时间并无显著差异。由于胫骨加速度峰值与胫骨应力性损伤风险增加有关，该荟萃分析结果表明，在较软地面上跑步以降低胫骨受到的冲击应力，对于降低与跑步相关的应力性损伤风险可能是合理的。
