Evidence map›Paper›PMID 36931595›Full record

ArticleJournal of sport and health science2024

Speed and surface steepness affect internal tibial loading during running.

Hannah Rice, Markus Kurz, Patrick Mai, Leon Robertz, Kevin Bill, Timothy R Derrick, Steffen Willwacher

Abstract read
In one paragraph

Article in Journal of sport and health science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Influence of Manipulating Running Foot Strike Angle on Internal Loading of the Tibia.Scandinavian journal of medicine & science in sports · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
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

7 authors.

Hannah RiceDepartment of Physical Performance, Norwegian School of Sport Sciences, Oslo 0806, Norway. Electronic address: hannahr@nih.no.
Markus KurzSports Tech Research Centre, Mid Sweden University, Östersund SE-831 25, Sweden; Department of Mechanical and Process Engineering, Offenburg University of Applied Sciences, Offenburg 77652, Germany.
Patrick MaiDepartment of Mechanical and Process Engineering, Offenburg University of Applied Sciences, Offenburg 77652, Germany; Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne 50933, Germany.
Leon RobertzInstitute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne 50933, Germany.
Kevin BillInstitute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne 50933, Germany.
Timothy R DerrickDepartment of Kinesiology, Iowa State University, Ames, IA 50011, USA.
Steffen WillwacherDepartment of Mechanical and Process Engineering, Offenburg University of Applied Sciences, Offenburg 77652, Germany; Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne 50933, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInternal tibial loading is influenced by modifiable factors with implications for the risk of stress injury. Runners encounter varied surface steepness (gradients) when running outdoors and may adapt their speed according to the gradient. This study aimed to quantify tibial bending moments and stress at the anterior and posterior peripheries when running at different speeds on surfaces of different gradients.

methodsTwenty recreational runners ran on a treadmill at 3 different speeds (2.5 m/s, 3.0 m/s, and 3.5 m/s) and gradients (level: 0%; uphill: +5%, +10%, and +15%; downhill: -5%, -10%, and -15%). Force and marker data were collected synchronously throughout. Bending moments were estimated at the distal third centroid of the tibia about the medial-lateral axis by ensuring static equilibrium at each 1% of stance. Stress was derived from bending moments at the anterior and posterior peripheries by modeling the tibia as a hollow ellipse. Two-way repeated-measures analysis of variance were conducted using both functional and discrete statistical analyses.

resultsThere were significant main effects for running speed and gradient on peak bending moments and peak anterior and posterior stress. Higher running speeds resulted in greater tibial loading. Running uphill at +10% and +15% resulted in greater tibial loading than level running. Running downhill at -10% and -15% resulted in reduced tibial loading compared to level running. There was no difference between +5% or -5% and level running.

conclusionRunning at faster speeds and uphill on gradients ≥+10% increased internal tibial loading, whereas slower running and downhill running on gradients ≥-10% reduced internal loading. Adapting running speed according to the gradient could be a protective mechanism, providing runners with a strategy to minimize the risk of tibial stress injuries.

Indexed as

RunningTibiaBiomechanical PhenomenaExercise TestNerve Tissue ProteinsNerve Tissue ProteinsBending momentsGradientMusculoskeletal modelingOveruse injuryTibial stressTraining factors

Identifiers

PMID36931595
PMCPMC10818105

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.