Do Simple Running Technique Changes Reduce Pain and Change Injury Causing Mechanics

NCT03067545 | Completed

• 1 other identifier: HSCR 16-49
• Study Type: interventional
• Target: 12
• Locations: 1 country
• Sites: 1

Brief Summary

This project aims to investigate whether an increase in step rate can be used to reduce pain and injury causing movement patterns in runners who are currently experiencing achilles tendonopathy, iliotibial band syndrome, patellofemoral pain syndrome and medial tibial stress syndrome. Many injuries have been reported to share similar injury causing movement patterns. For example iliotibial band syndrome and patellofemoral pain syndrome have been reported to be caused by increased side to side drop of the pelvis and inward movement of the hip. Gait retraining is a method of changing the way people run in order to change movement patterns.Increasing step rate may present a gait retraining method that does not pose further injury risks and can be used across multiple different injury populations. Studies have shown increasing step rate can reduce frontal plane movement patterns at the pelvis, hip and foot as well as reducing sagittal plane joint angles such as ankle dorsiflexion. Based on the changes in movement patterns increasing step rate has been recommended as an intervention for the treatment of patellofemoral pain syndrome, medial tibial stress syndrome, iliotibial band syndrome and achilles tendonopathy. Therefore this study aims to investigate whether an increase in step rate can reduce pain and change injury causing mechanics in runners currently running with patellofemoral pain syndrome, iliotibial band syndrome, medial tibial stress syndrome or achilles tendinopathy. The aim of the project is to use a simple gait intervention, increasing step rate to investigate if this technique change can reduce pain immediately, at short term follow up and long term follow up. The project will also look at whether an increased step rate can be maintained at follow up and whether this changes movement patterns proposed to be the cause of injury. Runners will be recruited from local running clubs and competitions using poster advertisement at running clubs and emailed to running clubs

Conditions

Patellofemoral Pain Syndrome; Medial Tibial Stress Syndrome; Iliotibial Band Syndrome; Achilles Tendinopathy

Outcome Measures

Primary Outcomes (5)

• kinematic data (lower limb joint angles during running)

  lower limb joint angles during running

  change from immediate, 4 weeks & 3 months

• lower extremity functional scale

  patient reported outcome measure of lower limb pain symptoms

  change from 4 weeks & 3 months

• anterior knee pain scale

  patient reported outcome measure of lower limb pain symptoms

  change from 4 weeks & 3 months

• medial tibial stress syndrome score

  patient reported outcome measure of lower limb pain symptoms

  change from 4 weeks & 3 months

• numerical rating scale

  pain rating scale for pain experienced during running

  change from 4 weeks & 3 months

Secondary Outcomes (1)

• questionnaire measure of self reported running distance

  change from 4 weeks & 3 months

Study Arms (1)

step rate increase

EXPERIMENTAL

increase in running stride rate by 10%

Other: Step rate increase

Interventions

Step rate increase OTHER

increase the step rate during running by 10% steps per minute

step rate increase

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Runners presenting with patellofemoral pain syndrome, iliotibial band syndrome, medial tibial stress syndrome or achilles tendonopathy. Diagnosis to be confirmed via a qualified physiotherapist present at all sessions
• Currently running at self reported less than normal training volume
• Pain reported to onset during running
• Provide written consent to participate

You may not qualify if:

• history of a traumatic onset of injury
• previous lower limb surgery
• currently not running due to pain
• cardiac or respiratory disease

Sponsors & Collaborators

• University of Salford: lead

Study Sites (1)

University of Salford Health Sciences

Salford, England, m6 6PU, United Kingdom

Location

Related Publications (1)

• Bramah C, Preece SJ, Gill N, Herrington L. A 10% Increase in Step Rate Improves Running Kinematics and Clinical Outcomes in Runners With Patellofemoral Pain at 4 Weeks and 3 Months. Am J Sports Med. 2019 Dec;47(14):3406-3413. doi: 10.1177/0363546519879693. Epub 2019 Oct 28.

  PMID: 31657964 DERIVED

MeSH Terms

Conditions

Patellofemoral Pain Syndrome; Medial Tibial Stress Syndrome; Iliotibial Band Syndrome

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Muscular Diseases; Neuromuscular Diseases; Nervous System Diseases; Leg Injuries; Wounds and Injuries; Knee Injuries; Cumulative Trauma Disorders; Sprains and Strains

Study Officials

• Chris Bramah, MSc

  University of Salford

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: single subject repeated measures design

Study Record Dates

• First Submitted: February 17, 2017
• First Posted: March 1, 2017
• Study Start: March 22, 2017
• Primary Completion: December 1, 2018
• Study Completion: December 1, 2018
• Last Updated: February 28, 2019

Record last verified: 2019-02

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)