Evidence map›Paper›PMID 25156044›Full record

ArticleThe Journal of orthopaedic and sports physical therapy2014

Hip muscle loads during running at various step rates.

Rachel Lenhart, Darryl Thelen, Bryan Heiderscheit

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of orthopaedic and sports physical therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04747223 (Step Rate Retraining to Reduce Injury and Disability), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04747223 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Step Rate Retraining to Reduce Injury and Disability: A Randomized Controlled Trial

TypeinterventionalSponsorArmy-Baylor University Doctoral Program in Physical TherapyRan2021 to 2022Enrolled100ConditionsOveruse Injury, Lower Extremity Problem, Stress Injury, Repetitive, Patellofemoral Pain SyndromeArmsRun Gait Retraining
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  20. An Evidence-Based Videotaped Running Biomechanics Analysis.Physical medicine and rehabilitation clinics of North America · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Rachel LenhartDepartment of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI.
Darryl Thelen
Bryan Heiderscheit

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
Institutional Clinical and Translational Science Award (UW-Madison)KL2RR025012 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$11.1M
INTEGRATED TRAINING FOR PHYSICIAN-SCIENTISTST32GM008692 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI BURKARD, MARK E · 1998 to 2020
$10.3M
NCATS NIH HHS UL1 TR000427NCATS NIH HHS UL1TR000427NCRR NIH HHS 1UL2RR025012NCRR NIH HHS KL2 RR025012NIGMS NIH HHS T32 GM008692NIGMS NIH HHS T32GM008692
6 · The paper itself

Abstract

STUDY

designControlled laboratory study, cross-sectional. Objectives To characterize hip muscle forces and powers during running, and to determine how these quantities change when altering step rate for a given running speed.

backgroundHip musculature has been implicated in a variety of running-related injuries and, as such, is often the target of rehabilitation interventions, including resistance exercises and gait retraining. The differential contributions of the hip muscles to the task of running are not well understood, and may be important for recognizing the biomechanical mechanisms of running-related injuries and refining current treatment and prevention strategies.

methodsThirty healthy participants ran at their preferred speed at 3 different step rates: 90%, 100%, and 110% of their preferred step rate. Whole-body kinematics and ground reaction forces were recorded. A 3-D musculoskeletal model was used to estimate muscle forces needed to produce the measured joint accelerations. Forces and powers of each muscle were compared across step-rate conditions.

resultsPeak force produced by the gluteus medius during running was substantially greater than that of any other hip muscle, with the majority of muscles displaying a period of negative work immediately preceding positive work. The higher running step rate led to an increase in hip flexor, hamstring, and hip extensor loading during swing, but, conversely, substantially diminished peak force and work during loading response for several hip muscles, including the gluteal muscles and piriformis.

conclusionIncreasing running step rate for a given running speed heightened hamstring and gluteal muscle loading in late swing, while decreasing stance-phase loading in the gluteal muscles and piriformis. These results may enable clinicians to support and refine current treatment strategies, including exercise prescription and gait retraining for running-related injuries.

Indexed as

AccelerationAdultBiomechanical PhenomenaCross-Sectional StudiesFemaleGaitHipHumansLower ExtremityMaleMuscle, SkeletalRunninggait retraininghip injurymodelingrunning injurystep rate

Identifiers

PMID25156044
PMCPMC4296582

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.