Increasing Step Frequency Reduces Patellofemoral Joint Stress and Patellar Tendon Force Impulse More at Low Running Speed
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作者:
Hagen, Michiel
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Katholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, Belgium
Tervuursevest 101, Bus 1501, B-3001 Leuven, BelgiumKatholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, Belgium
Hagen, Michiel
[1
,3
]
Vanmechelen, Anna
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Katholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, BelgiumKatholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, Belgium
Vanmechelen, Anna
[1
]
Cloet, Emile
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Katholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, BelgiumKatholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, Belgium
Cloet, Emile
[1
]
Sellicaerts, Jan
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Katholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, BelgiumKatholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, Belgium
Sellicaerts, Jan
[1
]
Van Welden, Kaat
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Katholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, BelgiumKatholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, Belgium
Van Welden, Kaat
[1
]
Verstraete, Jesper
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Katholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, BelgiumKatholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, Belgium
Verstraete, Jesper
[1
]
Catelli, Danilo S. S.
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Katholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, Belgium
Katholieke Univ Leuven, Fac Movement & Rehabil Sci, Human Movement Biomech Res Grp, Leuven, BelgiumKatholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, Belgium
Catelli, Danilo S. S.
[1
,2
]
Verschueren, Sabine
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Katholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, BelgiumKatholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, Belgium
Verschueren, Sabine
[1
]
Vanrenterghem, Jos
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Katholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, BelgiumKatholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, Belgium
Vanrenterghem, Jos
[1
]
机构:
[1] Katholieke Univ Leuven, Fac Movement & Rehabil Sci, Musculoskeletal Rehabil Res Grp, Leuven, Belgium
[2] Katholieke Univ Leuven, Fac Movement & Rehabil Sci, Human Movement Biomech Res Grp, Leuven, Belgium
[3] Tervuursevest 101, Bus 1501, B-3001 Leuven, Belgium
PurposePatellofemoral pain syndrome and patellar tendinopathy are important running-related overuse injuries. This study investigated the interaction of running speed and step frequency alterations on peak and cumulative patellofemoral joint stress (PFJS) and patellar tendon force (PTF) parameters.MethodsTwelve healthy individuals completed an incremental running speed protocol on a treadmill at habitual, increased and decreased step frequency. Peak PFJS and PTF, peak rate of PFJS and PTF development, and PFJS and PTF impulse per kilometer (km) were calculated using musculoskeletal modeling.ResultsWith increasing running speed, peak PFJS (P < 0.001) and PTF (P < 0.001) and peak rate of PFJS (P < 0.001) and PTF (P < 0.001) development increased, whereas PFJS (P < 0.001) and PTF (P < 0.001) impulse per km decreased. While increasing step frequency by 10%, the peak PFJS (P < 0.001) and PTF (P < 0.001) and the PFJS (P < 0.001) and PTF (P < 0.001) impulse per kilometer decreased. No significant effect of step frequency alteration was found for the peak rate of PFJS (P = 0.008) and PTF (P = 0.213) development. A significant interaction effect was found for PFJS (P < 0.001) and PTF (P < 0.001) impulse per km, suggesting that step frequency alteration was more effective at low running speed.ConclusionsThe effectiveness of step frequency alteration on PFJS and PTF impulse per km is dependent on the running speed. With regard to peak PFJS and PTF, step frequency alteration is equally effective at low and high running speeds. Step frequency alteration was not effective for peak rate of PFJS and PTF development. These findings can assist the optimization of patellofemoral joint and patellar tendon load management strategies.