Journal ArticleDOI
Optimising the efficacy of gait retraining
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TLDR
A recent randomised control trial compared the effects of three rehabilitation programmes for patellofemoral pain: education, education and exercises and education and gait retraining.Abstract:
A recent randomised control trial compared the effects of three rehabilitation programmes for patellofemoral pain: education, education and exercises and education and gait retraining.1 I was excited to read this, as I consider gait retraining an important component of patellofemoral pain treatment. Physical therapists are movement experts and in the best position to address faulty movement patterns. Many running-related injuries, especially those more chronic and requiring medical attention, are associated with faulty running mechanics.2 Muscle strengthening alone may not address faulty mechanics.3 While muscle strength is important and can be considered the ‘hardware’ of movementit is the motor pattern, or the ‘software’, that dictates the movement quality. When movement patterns become habitual, altering them during high demand, functional activities such as running takes time and practice and can be challenging.
The goal of gait retraining is to adopt and retain a new motor pattern. Research suggests that this requires an acquisition phase , where extrinsic feedback is provided on a predetermined schedule so that the learner can associated the feedback with their proprioceptive input.4 This is followed by …read more
Citations
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Journal ArticleDOI
2018 Consensus statement on exercise therapy and physical interventions (orthoses, taping and manual therapy) to treat patellofemoral pain: recommendations from the 5th International Patellofemoral Pain Research Retreat, Gold Coast, Australia, 2017.
Natalie J. Collins,Christian J Barton,Marienke van Middelkoop,Michael J. Callaghan,Michael Skovdal Rathleff,Bill Vicenzino,Irene S. Davis,Christopher M. Powers,Erin M Macri,Harvi F. Hart,Danilo de Oliveira Silva,Kay M. Crossley +11 more
TL;DR: Recommendations from the expert panel support the use of exercise therapy, combined interventions and foot orthoses to improve pain and/or function in people with patellofemoral pain.
Journal ArticleDOI
Fatigue matters: An intense 10 km run alters frontal and transverse plane joint kinematics in competitive and recreational adult runners.
TL;DR: It is speculated that strengthening ankle invertors and hip abductors and monitoring the dynamic leg axis during running appear to be promising in preventing fatigue induced alterations of non-sagittal joint kinematics.
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The effects & mechanisms of increasing running step rate: A feasibility study in a mixed-sex group of runners with patellofemoral pain.
TL;DR: Recruitment and retention of a mixed sex PFP cohort to a step rate intervention involving detailed biomechanical measures is feasible and there are indications of both likely efficacy and associated mechanisms.
Journal ArticleDOI
Update of Risk Factors, Diagnosis, and Management of Patellofemoral Pain.
Daniel Sisk,Michael Fredericson +1 more
TL;DR: The purpose of this review is to examine the latest research on risk factors, physical examination, and treatment of patellofemoral pain to improve accuracy of diagnosis and increase use of efficacious treatment modalities.
Journal ArticleDOI
A Contemporary Approach to Patellofemoral Pain in Runners.
TL;DR: How the latest evidence on education about training modifications, strengthening exercises, gait and footwear modifications, and psychosocial factors can be applied when treating runners with PFP is described.
References
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Journal ArticleDOI
Knowledge of results and motor learning: a review and critical reappraisal.
TL;DR: A number of new relations emerge between KR and both learning and performance, and it is emphasized that it also acts as guidance, enhancing performance when it is present but degrading learning if it is given too frequently.
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Reduced frequency of knowledge of results enhances motor skill learning.
TL;DR: In this article, the effects of variations in the relative frequency of the knowledge of results acquisition on motor skill learning were examined in three experiments in which the effect of variation in the frequency of knowledge acquisition was examined.
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The effect of real-time gait retraining on hip kinematics, pain and function in subjects with patellofemoral pain syndrome.
TL;DR: Gait retraining in individuals with PFPS resulted in a significant improvement of hip mechanics that was associated with a reduction in pain and improvements in function, which suggest that interventions for PFPS should focus on addressing the underlying mechanics associated with this injury.
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The Effect of a Hip-Strengthening Program on Mechanics During Running and During a Single-Leg Squat
Richard W. Willy,Irene S. Davis +1 more
TL;DR: It is suggested that hip strengthening and movement training, when not specific to running, do not alter abnormal running mechanics but did improve single-leg squat mechanics.
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Greater vertical impact loading in female runners with medically diagnosed injuries: a prospective investigation
TL;DR: In this article, a gait analysis was performed on 249 female runners to determine whether runners with high impacts are at greater risk for developing medically diagnosed injuries, and the results showed that impact loading was associated with bony and soft-tissue injuries.