Session Information
Session Title: AA 2022 Posters - Musculoskeletal and Sports Medicine
Session Time: None. Available on demand.
Disclosures: Caroline M. Fryar, MD: No financial relationships or conflicts of interest
Background and/or Objectives: Symptomatic Achilles tendon pain is common in recreational runners and mechanisms may be intrinsic and extrinsic. Our objective was to identify intrinsic temporalspatial, kinetic, kinematic features of motion and extrinsic features, such as changes in shoewear, that may contribute to Achilles pain in recreational runners.
Design: Retrospective case-control study.
Setting: Academic research institution.
Participants: Runners with Achilles pain and age-sex-running speed matched healthy runners (Nf58; age=39.4±17.9 yr; BMI=23.02±4.4 kg/m2; weekly distance=37.6±21.9 km).
Interventions: not applicable
Main Outcome Measures: 3D kinematics and joint angle of ankle, knee and hip; historical risk factors of running injury (shoe wear, rapid changes to volume, intensity, terrain or footstrike).
Results: A higher proportion of injured runners had changed their running shoe style within the previous 6 months than non-injured runners (55.2% vs. 23.1%; p=.015). Temporalspatial parameters were not different between groups. However, normalized hip extension moments in frontal and sagittal planes were 17%-23% higher in injured than noninjured runners (p
Conclusions: Contributors to running-related Achilles pain were a combination of recent shoewear change and mechanical features that may elevate tensile stress on the tendon with repeated loading during training. In the sports clinic setting, runners may benefit from guidance on gradual shoe transitions and therapy plans to correct landing and loading mechanics.
Level of Evidence: Level III
To cite this abstract in AMA style:
Fryar CM, Vincent HK, Vincent KK, Sharififar S, Oberhaus J. Running-related Achilles Pain Is Associated with Recent Shoe Change and Landing Mechanics in Recreational Runners [abstract]. PM R. 2022; 14(S1)(suppl 1). https://pmrjabstracts.org/abstract/running-related-achilles-pain-is-associated-with-recent-shoe-change-and-landing-mechanics-in-recreational-runners/. Accessed September 7, 2024.« Back to AAPM&R Annual Assembly 2022
PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/running-related-achilles-pain-is-associated-with-recent-shoe-change-and-landing-mechanics-in-recreational-runners/