Use the Back button in your browser to see the other results of your search or to select another record.

Detailed Search Results

The effectiveness of gait retraining on running kinematics, kinetics, performance, pain, and injury in distance runners: a systematic review with meta-analysis [consumer summary] [with consumer summary]
Doyle E, Doyli TLA, Bonacci J, Fuller JT
The Journal of Orthopaedic and Sports Physical Therapy 2022 Apr;52(4):192-206
systematic review

OBJECTIVE: To evaluate the effectiveness of running gait retraining on kinematics, kinetics, performance, pain, and injury in distance runners. DESIGN: Intervention systematic review with meta-analysis. LITERATURE SEARCH: Seven electronic databases from inception to March 2021. TRIAL SELECTION CRITERIA: Randomized controlled trials that (1) evaluated running gait retraining compared to no intervention, usual training, placebo, or standard care and (2) reported biomechanical, physiological, performance, or clinical outcomes. DATA SYNTHESIS: Random-effects metaanalyses were completed, and the certainty of evidence was judged using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria. We categorized interventions into step rate, non-rearfoot footstrike, impact, ground contact time, and multiparameter subgroups. RESULTS: We included 19 trials (673 participants). Moderate-certainty evidence indicated step rate gait retraining increased step rate (SMD 1.03, 95% confidence interval (CI) 0.63 to 1.44; number of trials (N) = 4; I2 = 0%) and reduced average vertical loading rate (SMD -0.57, 95% CI -1.05 to -0.09, N = 3; I2 = 0%). Low-certainty evidence indicated non-rearfoot footstrike retraining increased knee flexion at initial contact (SMD 0.74, 95% CI 0.11 to 1.37; N = 2; I2 = 0%), but did not alter running economy (SMD 0.21, 95% CI -1.11 to 1.52; N = 3; I2 = 19%). Low-certainty evidence indicated multiparameter retraining did not alter running economy (SMD 0.32, 95% CI -0.39 to 1.02; N = 3; I2 = 19%) or performance (SMD 0.14, 95% CI -4.87 to 4.58; N = 2; I2 = 18%). Insufficient trials reported on pain outcomes. Two trials demonstrated reduced 1-year injury incidence following gait retraining. CONCLUSIONS: Gait retraining interventions altered step rate and knee kinematics, lowered vertical loading rates, and did not affect running performance.

Full text (sometimes free) may be available at these link(s):      help