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Risk factors for running-related injuries: An umbrella systematic review.跑步相关损伤的风险因素:伞式系统综述。
J Sport Health Sci. 2024 Nov;13(6):793-804. doi: 10.1016/j.jshs.2024.04.011. Epub 2024 Apr 30.
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The Effect of Real-Time Tibial Acceleration Feedback on Running Biomechanics During Gait Retraining: A Systematic Review and Meta-Analysis.实时胫骨加速度反馈对步态再训练期间跑步生物力学的影响:系统评价和荟萃分析。
J Sport Rehabil. 2023 Feb 14;32(4):449-461. doi: 10.1123/jsr.2022-0279. Print 2023 May 1.
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Using statistical parametric mapping to assess the association of duty factor and step frequency on running kinetic.使用统计参数映射来评估工作因素和步频与跑步动力学之间的关联。
Front Physiol. 2022 Dec 5;13:1044363. doi: 10.3389/fphys.2022.1044363. eCollection 2022.
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Recent Machine Learning Progress in Lower Limb Running Biomechanics With Wearable Technology: A Systematic Review.可穿戴技术在下肢跑步生物力学方面的机器学习最新进展:系统综述
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Scand J Med Sci Sports. 2022 Jul;32(7):1142-1152. doi: 10.1111/sms.14162. Epub 2022 Apr 21.
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Running-Related Biomechanical Risk Factors for Overuse Injuries in Distance Runners: A Systematic Review Considering Injury Specificity and the Potentials for Future Research.长跑运动员过度使用损伤的与跑步相关的生物力学风险因素:考虑损伤特异性和未来研究潜力的系统评价。
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10
Are there different gait profiles in patients with advanced knee osteoarthritis? A machine learning approach.患有晚期膝骨关节炎的患者是否存在不同的步态特征?一种机器学习方法。
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跑步生物力学中的圣杯探寻:是否存在使机械负荷最小化的理想运动模式?

The Search for the Holy Grail in Running Biomechanics: Is There an Ideal Movement Profile for Minimizing Mechanical Overload?

作者信息

Leporace Gustavo, Guadagnin Eliane C, Carpes Felipe P, Gustafson Jonathan, Gonzalez Felipe F, Chahla Jorge, Metsavaht Leonardo

机构信息

Instituto Brasil de Tecnologias da Saúde, Rio de Janeiro, Brazil.

Departamento de Diagnóstico por Imagem, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.

出版信息

Sports Health. 2025 May 20:19417381251338267. doi: 10.1177/19417381251338267.

DOI:10.1177/19417381251338267
PMID:40395032
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12095228/
Abstract

BACKGROUND

Running biomechanics can influence injury risk, but whether the combined effect of different biomechanical factors can be identified by individual running profiles remains unclear. Here, we identified distinct biomechanical profiles among healthy runners, examined lower limb mechanical load characteristics, and evaluated potential implications for injury risk.

HYPOTHESIS

Multiple factors would serve as a common denominator allowing identification of specific patterns.

STUDY DESIGN

Cross-sectional.

LEVEL OF EVIDENCE

Level 2.

METHODS

Step cadence, stance time, vertical oscillation, duty factor, vertical stiffness, peak ground reaction force (GRF), and anteroposterior, lateral, and vertical smoothness were determined from 3-dimensional kinematic data from 79 healthy runners using a treadmill at 2.92 m/s. Principal component analysis, self-organizing maps, and K-means clustering techniques delineated distinct biomechanical running profiles. Mutual information analysis, Kruskal-Wallis, and Pearson's Chi-squared tests were conducted.

RESULTS

Five biomechanical profiles (P1-P5) demonstrated different running mechanical characteristics: P1 exhibited low cumulative and peak mechanical load due to a combination of high duty factor, low step cadence, and longer stance time; P2 showed characteristics associated with the lowest peak mechanical load due to reduced peak GRF and greater smoothness; P3 and P5 showed contrasting running patterns, but maintained moderate smoothness and peak GRF; and P4 exhibited the highest peak mechanical load, driven by high GRF, low duty factor, and high vertical oscillation.

CONCLUSION

The 5 profiles appear to be associated with different lower limb load patterns, highlighting previously unrecognized connections between biomechanical variables during running. Some variables contribute to increased peak and cumulative load, whereas others help reduce it, underscoring the complex interplay of biomechanical factors in running.

CLINICAL RELEVANCE

Identifying distinct running profiles can help clinicians better understand individual variations in mechanical load and injury risk, thus informing targeted interventions, such as personalized training adjustments or rehabilitation programs, to prevent injuries and enhance performance in runners.

摘要

背景

跑步生物力学可影响受伤风险,但不同生物力学因素的综合作用能否通过个体跑步特征来识别仍不清楚。在此,我们确定了健康跑步者之间不同的生物力学特征,研究了下肢机械负荷特征,并评估了对受伤风险的潜在影响。

假设

多种因素将作为一个共同标准,允许识别特定模式。

研究设计

横断面研究。

证据水平

2级。

方法

利用跑步机以2.92米/秒的速度对79名健康跑步者进行三维运动学数据采集,测定步频、支撑时间、垂直振荡、负荷率、垂直刚度、地面反作用力峰值(GRF)以及前后、横向和垂直方向的平滑度。主成分分析、自组织映射和K均值聚类技术描绘了不同的生物力学跑步特征。进行了互信息分析、Kruskal-Wallis检验和Pearson卡方检验。

结果

五种生物力学特征(P1 - P5)表现出不同的跑步机械特征:P1由于高负荷率、低步频和更长的支撑时间,表现出低累积和峰值机械负荷;P2由于GRF峰值降低和平滑度更高,表现出与最低峰值机械负荷相关的特征;P3和P5表现出相反的跑步模式,但保持适度的平滑度和GRF峰值;P4由于高GRF、低负荷率和高垂直振荡,表现出最高的峰值机械负荷。

结论

这五种特征似乎与不同的下肢负荷模式相关,突出了跑步过程中生物力学变量之间以前未被认识到的联系。一些变量会导致峰值和累积负荷增加,而其他变量则有助于降低负荷,强调了跑步中生物力学因素的复杂相互作用。

临床意义

识别不同的跑步特征可帮助临床医生更好地理解机械负荷和受伤风险的个体差异,从而为有针对性的干预措施提供依据,如个性化训练调整或康复计划,以预防跑步者受伤并提高其表现。