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Reversing the Mismatch With Forefoot Striking to Reduce Running Injuries

Bibliographic Data

ID5285937
AuthorsIrene S Davis (0000-0002-0139-1379, Harvard University, corresponding author), Tony Lin-Wei Chen, Tony Lin‐wei Chen (0000-0003-0737-0859, Hong Kong Polytechnic University), Scott C Wearing, Scott Wearing (0000-0002-3970-369X, Queensland University of Technology)
Year2022
Volume4
Pages794005-794005
Publication date2022-05-19
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Sports and Active Living (JOURNAL)
Journal identifiersISSN: 2624-9367 • E-ISSN: 2624-9367
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fspor.2022.794005
PMID35663502
OpenAlexW4280500299
LanguageEN
Citations received1
References cited86

Recent studies have suggested that 95% of modern runners land with a rearfoot strike (RFS) pattern. However, we hypothesize that running with an RFS pattern is indicative of an evolutionary mismatch that can lead to musculoskeletal injury. This perspective is predicated on the notion that our ancestors evolved to run barefoot and primarily with a forefoot strike (FFS) pattern. We contend that structures of the foot and ankle are optimized for forefoot striking which likely led to this pattern in our barefoot state. We propose that the evolutionary mismatch today has been driven by modern footwear that has altered our footstrike pattern. In this paper, we review the differences in foot and ankle function during both a RFS and FFS running pattern. This is followed by a discussion of the interaction of footstrike and footwear on running mechanics. We present evidence supporting the benefits of forefoot striking with respect to common running injuries such as anterior compartment syndrome and patellofemoral pain syndrome. We review the importance of a gradual shift to FFS running to reduce transition-related injuries. In sum, we will make an evidence-based argument for the use of minimal footwear with a FFS pattern to optimize foot strength and function, minimize ground reaction force impacts and reduce injury risk

Ankle · Ankle injury · Barefoot · Foot (prosody · Forefoot · Ground reaction force · Physical medicine and rehabilitation · Physical therapy · Physics · Computer Science · Foot and Ankle Surgery · Lower Extremity Biomechanics and Pathologies · Medicine · Sports injuries and prevention · Anatomy · Surgery

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Unique citing works1
Citations per year0,33
Citation span2023 - 2023 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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