influence-of-step-width-manipulation-on-running-biomechanics

Influence of Step-Width Manipulation on Running Biomechanics

Step width is a critical factor influencing lower limb biomechanics during running, significantly affecting stability, performance, and injury risk. ...

Ningbo University

Children's footwear plays an important role in the healthy growth of foot and gait development during the growing stage. This review aims to synthesize findings of previous investigations and to explore the biomechanical influences of different types of children's footwear on foot health and gait development, thus guiding the healthy and safe growth of children's feet and gait. Online databases were searched for potential eligible articles, including Web of Science, Google Scholar, and PubMed. In total, nineteen articles were identified after searching based on the inclusion requirements. The following five aspects of biomechanical parameters were identified in the literature, including spatiotemporal, kinematics, kinetics, electromyography (EMG), and plantar pressure distribution. Children's footwear can affect their foot health and gait performance. In addition, children's shoes with different flexibility and sole hardness have different effects on children's feet and gait development. Compared to barefoot, the stride length, step length, stride time, and step time were increased, but cadence was decreased with wearing shoes. Furthermore, the support base and toe-off time increased. Double support time and stance time increased, but single support time decreased. The hip, knee, and ankle joints showed increased range of motion in children with the rear-foot strike with larger ground reaction force as well. Future studies may need to evaluate the influence of footwear types on gait performance of children in different age groups. Findings in this study may provide recommendations for suitable footwear types for different ages, achieving the aim of growth and development in a healthy and safe manner.

Understanding the Role of Children's Footwear on Children's Feet and Gait Development: A Systematic Scoping Review.

This study provided a comprehensive updated review of the biological aspects of children foot morphology across different ages, sex, and weight, aiming to reveal the patterns of normal and pathological changes in children feet during growth and development. This review article comprised 25 papers in total that satisfied the screening standards. The aim was to investigate how weight changes, age and sex affect foot type, and gain a deeper understanding of the prevalent foot deformities that occur during children growth. Three different foot morphological conditions were discussed, specifically including the effect of sex and age differences, the effect of weight changes, and abnormal foot morphologies commonly documented during growth. This review found that sex, age, and weight changes would affect foot size, bony structure, foot posture, and plantar pressures during child growth. As a result of this biological nature, the children's feet generally exhibit neutral and internally rotated foot postures, which frequently lead to abnormal foot morphologies (e.g., flat foot, pronated foot, etc.). In the future, attention shall be paid to the causal factors leading to specific foot morphologies during the growth and development of children. However, sufficient evidence could not be provided due to a relatively short period of investigation and non-uniformed research methodology in the current literature. A more comprehensive and in-depth exploration is recommended to provide scientific evidence for the discovery of children foot development and personalized growth pattern.

Understanding foot conditions, morphologies and functions in children: a current review.

 Playing badminton has been reported with extensive health benefits, while main injuries were documented in the lower extremity. This study was aimed to investigate and predict the knee- and ankle-joint loadings of athletes who play badminton, with "gold standard" facilities. The axial impact acceleration from wearables would be used to predict joint moments and contact forces during sub-maximal and maximal lunge footwork.  A total of 25 badminton athletes participated in this study, following a previously established protocol of motion capture and musculoskeletal modelling techniques with the integration of a wearable inertial magnetic unit (IMU). We developed a principal component analysis (PCA) statistical model to extract features in the loading parameters and a multivariate partial least square regression (PLSR) machine learning model to correlate easily collected variables, such as the stance time, approaching velocity, and peak accelerations, with knee and ankle loading parameters (moments and contact forces).  The key variances of joint loadings were observed from statistical principal component analysis modelling. The promising accuracy of the partial least square regression model using input parameters was observed with a prediction accuracy of 94.52%, while further sensitivity analysis found a single variable from the ankle inertial magnetic unit that could predict an acceptable range (93%) of patterns and magnitudes of the knee and ankle loadings.  The attachment of this single inertial magnetic unit sensor could be used to record and predict loading accumulation and distribution, and placement would exhibit less influence on the motions of the lower extremity. The intelligent prediction of loading patterns and accumulation could be integrated to design training and competition schemes in badminton or other court sports in a scientific manner, thus preventing fatigue, reducing loading-accumulation-related injury, and maximizing athletic performance.

Intelligent prediction of lower extremity loadings during badminton lunge footwork in a lab-simulated court.

A detailed three-dimensional (3D) head-neck (C0-C7) finite element (FE) model was developed and used to dictate the motions of each cervical spinal segment under static physiological loadings of flexion and extension with a magnitude of 1.0 Nm and rear-end impacts. In this dynamic study, a rear-end impact pulse was applied to C7 to create accelerations of 4.5 G and 8.5 G. The predicted segmental motions and displacements of the head were in agreement with published results under physiological loads of 1.0 Nm. Under rear-end impact conditions, the effects of peak pulse acceleration and headrest angles on the kinematic responses of the head-neck complex showed rates of increase/decrease in the rotational motion of various cervical spinal segments that were different in the first 200 ms. The peak flexion rotation of all segments was lower than the combined ROM of flexion and extension. The peak extension rotation of all segments showed variation compared to the combined ROM of flexion and extension depending on G and the headrest angle. A higher acceleration of C7 increased the peak extension angle of lower levels, but the absolute increase was restricted by the distance between the head and the headrest. A change in the headrest angle from 45° to 30° resulted in a change in extension rotation at the lower C5-C6 segments to flexion rotation, which further justified the effectiveness of having distance between the head and the headrest. This study shows that the existing C0-C7 FE model is efficient at defining the gross reactions of the human cervical spine under both physiological static and simulated whiplash circumstances. The fast rate of changes in flexion and extension rotation of various segments may result in associated soft tissues and bony structures experiencing tolerances beyond their material characteristic limits. It is suggested that a proper location and angle of the headrest could effectively prevent the cervical spine from injury in traumatic vehicular accidents.

Finite Element Analysis of Head-Neck Kinematics in Rear-End Impact Conditions with Headrest.

This research investigates the biomechanical impact of the split-step technique on forehand and backhand lunges in badminton, aiming to enhance players' on-court movement efficiency. Despite the importance of agile positioning in badminton, the specific contributions of the split-step to the biomechanical impact of lunging footwork still need to be determined.

Biomechanical Effects of the Badminton Split-Step on Forecourt Lunging Footwork.

Step width is a spatial variable in the frontal plane, defined as the mediolateral distance between the heel (forefoot during sprinting) of bilateral feet at initial contact. Variations in step width may impact the lower limb biomechanics. This systematic review aimed to synthesize the published findings to determine the influence of acute changes in step width on locomotion biomechanics and provide implications for injury prevention and enhanced sports performance.

The Biomechanical Influence of Step Width on Typical Locomotor Activities: A Systematic Review.

: Acute ankle sprain may affect ankle function during sport and daily activities. This study aimed to use vector coding technique to analyze the difference over time between injured and healthy lower limb during the first week of acute ankle sprain phase (P1) and post a 1-month recovery phase (P2) to understand the return-to-play coordination strategy in the lower extremity. : Six females attended the gait experiments with attached 40 reflective markers using eight-camera Vicon motion capture system. All participants walked barefoot while turning in four directions (T0°, T45°, T90°, T135°) at their self-selected speed. Coordination patterns were classified as in-phase, anti-phase, proximal or distal dominancy between lower limb joints involving hip, knee, ankle, subtalar, metatarsophalangeal (MTP) joint and tarsometatarsal (TMT) joint. : P1 showed more proximal joint dominant in Hip-Knee coupling angles but P2 displayed more distal joint dominant in Knee-Ankle joint coordination pattern and mainly distal joint dominant in Ankle-MTP coupling angle mapping. The Ankle-TMT1 and Ankle-TMT5 coordination patterns matched best in straight walking but worst in T135 walking. : Investigating inter-segmental coordination in different turning movements could provide insights into gait changes from acute ankle sprain from one-month return-to-play recovery. Knowledge of lower limb coordination pattern may provide clinical implications to improve dynamic balance and gait stability for individuals with acute ankle sprain.

Analysis of segmental coordination in the lower extremity using vector coding: a pilot return-to-play study of acute ankle sprain.

Biomechanical asymmetries between children's left and right feet can affect stability and coordination, especially during dynamic movements. This study aimed to examine plantar pressure distribution, foot balance, and center of pressure (COP) trajectories in children during walking, running, and turning activities to understand how different movements influence these asymmetries. Fifteen children participated in the study, using a FootScan plantar pressure plate to capture detailed pressure and balance data. The parameters, including time-varying forces, COP, and Foot Balance Index (FBI), were analyzed through a one-dimensional Statistical Parametric Mapping (SPM1d) package. Results showed that asymmetries in COP and FBI became more pronounced, particularly during the tasks of running and directional turns. Regional plantar pressure analysis also revealed a more significant load on specific foot areas during these dynamic movements, indicating an increased reliance on one foot for stability and control. These findings suggest that early identification of asymmetrical loading patterns may be vital in promoting a balanced gait and preventing potential foot health issues in children. This study contributes to understanding pediatric foot biomechanics and provides insights for developing targeted interventions to support healthy physical development in children.

Article	Year
Understanding the Role of Children's Footwear on Children's Feet and Gait Development: A Systematic Scoping Review. Healthcare (Basel, Switzerland)\| PubMed ID: 37239704	2023
Understanding foot conditions, morphologies and functions in children: a current review. Frontiers in bioengineering and biotechnology\| PubMed ID: 37539437	2023
Intelligent prediction of lower extremity loadings during badminton lunge footwork in a lab-simulated court. Frontiers in bioengineering and biotechnology\| PubMed ID: 37614628	2023
Finite Element Analysis of Head-Neck Kinematics in Rear-End Impact Conditions with Headrest. Bioengineering (Basel, Switzerland)\| PubMed ID: 37760161	2023
Biomechanical Effects of the Badminton Split-Step on Forecourt Lunging Footwork. Bioengineering (Basel, Switzerland)\| PubMed ID: 38790367	2024
The Biomechanical Influence of Step Width on Typical Locomotor Activities: A Systematic Review. Sports medicine - open\| PubMed ID: 39068296	2024
Analysis of segmental coordination in the lower extremity using vector coding: a pilot return-to-play study of acute ankle sprain. Acta of bioengineering and biomechanics\| PubMed ID: 39072459	2023
Bilateral Asymmetries of Plantar Pressure and Foot Balance During Walking, Running, and Turning Gait in Typically Developing Children. Bioengineering (Basel, Switzerland)\| PubMed ID: 40001671	2025

Hanhui Jiang

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