Leporace G, Guadagnin EC, Carpes FP, Gustafson J, Gonzalez FF, Chahla J, Metsavaht L. The Search for the Holy Grail in Running Biomechanics: Is There an Ideal Movement Profile for Minimizing Mechanical Overload?
Sports Health 2025:19417381251338267. [PMID:
40395032 PMCID:
PMC12095228 DOI:
10.1177/19417381251338267]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/22/2025] Open
Abstract
BACKGROUND
Running biomechanics can influence injury risk, but whether the combined effect of different biomechanical factors can be identified by individual running profiles remains unclear. Here, we identified distinct biomechanical profiles among healthy runners, examined lower limb mechanical load characteristics, and evaluated potential implications for injury risk.
HYPOTHESIS
Multiple factors would serve as a common denominator allowing identification of specific patterns.
STUDY DESIGN
Cross-sectional.
LEVEL OF EVIDENCE
Level 2.
METHODS
Step cadence, stance time, vertical oscillation, duty factor, vertical stiffness, peak ground reaction force (GRF), and anteroposterior, lateral, and vertical smoothness were determined from 3-dimensional kinematic data from 79 healthy runners using a treadmill at 2.92 m/s. Principal component analysis, self-organizing maps, and K-means clustering techniques delineated distinct biomechanical running profiles. Mutual information analysis, Kruskal-Wallis, and Pearson's Chi-squared tests were conducted.
RESULTS
Five biomechanical profiles (P1-P5) demonstrated different running mechanical characteristics: P1 exhibited low cumulative and peak mechanical load due to a combination of high duty factor, low step cadence, and longer stance time; P2 showed characteristics associated with the lowest peak mechanical load due to reduced peak GRF and greater smoothness; P3 and P5 showed contrasting running patterns, but maintained moderate smoothness and peak GRF; and P4 exhibited the highest peak mechanical load, driven by high GRF, low duty factor, and high vertical oscillation.
CONCLUSION
The 5 profiles appear to be associated with different lower limb load patterns, highlighting previously unrecognized connections between biomechanical variables during running. Some variables contribute to increased peak and cumulative load, whereas others help reduce it, underscoring the complex interplay of biomechanical factors in running.
CLINICAL RELEVANCE
Identifying distinct running profiles can help clinicians better understand individual variations in mechanical load and injury risk, thus informing targeted interventions, such as personalized training adjustments or rehabilitation programs, to prevent injuries and enhance performance in runners.
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