Patellofemoral Pain Syndrome Clinical Trial
— STRIDeOfficial title:
Step Rate Retraining to Reduce Injury and Disability: A Randomized Controlled Trial
This study will be the first project to evaluate the effectiveness of wearable technology (Garmin Forerunner35) while performing gait retraining in field on military members. The watch will provide real time feedback to the runner on their step rate while performing running sessions outside of the lab. This allows the runner to modify their step rate to meet a recommended step rate provided by the study team member. Aim 1: To demonstrate the utility of wearable sensors to modify running step rate through real time biofeedback. Aim 2: To determine whether altering step rate using real time biofeedback reduces lower extremity musculoskeletal injury reoccurrence within 1 year post training.
Status | Not yet recruiting |
Enrollment | 100 |
Est. completion date | December 31, 2022 |
Est. primary completion date | June 1, 2022 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 50 Years |
Eligibility | Inclusion Criteria: - Between the age of 18 - 50 years - Active Duty, Department of Defense beneficiaries - History of running-related overuse, musculoskeletal injury of the lower extremity (knee, hip, lower leg, or bone stress injury) within the last six months - Currently able to run continuously for at least 15 minutes at self-selected pace, 3 times per week. - Read and speak English well enough to provide informed consent and follow study instructions Exclusion Criteria: - Known pregnancy currently or in the previous 6 months - Lower extremity or low back surgery in the previous 6 months - Any lower extremity or low back exercise profile that limits running - Participant has already completed a step rate, gait retraining program - Participant has a step rate greater than 176 steps per minute |
Country | Name | City | State |
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n/a |
Lead Sponsor | Collaborator |
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Army-Baylor University Doctoral Program in Physical Therapy |
Heiderscheit BC, Chumanov ES, Michalski MP, Wille CM, Ryan MB. Effects of step rate manipulation on joint mechanics during running. Med Sci Sports Exerc. 2011 Feb;43(2):296-302. doi: 10.1249/MSS.0b013e3181ebedf4. — View Citation
Lenhart R, Thelen D, Heiderscheit B. Hip muscle loads during running at various step rates. J Orthop Sports Phys Ther. 2014 Oct;44(10):766-74, A1-4. doi: 10.2519/jospt.2014.5575. Epub 2014 Aug 25. — View Citation
Willson JD, Ratcliff OM, Meardon SA, Willy RW. Influence of step length and landing pattern on patellofemoral joint kinetics during running. Scand J Med Sci Sports. 2015 Dec;25(6):736-43. doi: 10.1111/sms.12383. Epub 2015 Jan 14. — View Citation
Willy RW, Buchenic L, Rogacki K, Ackerman J, Schmidt A, Willson JD. In-field gait retraining and mobile monitoring to address running biomechanics associated with tibial stress fracture. Scand J Med Sci Sports. 2016 Feb;26(2):197-205. doi: 10.1111/sms.12413. Epub 2015 Feb 4. — View Citation
Type | Measure | Description | Time frame | Safety issue |
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Primary | Change in Average vertical loading rate (AVLR) | The slope of the line on a ground reaction force curve from initial contact to the impact peak | Baseline, 10 weeks, 6 months | |
Primary | Change in Step rate (SR) | The number of steps a participant takes per minute of running | Baseline, 10 weeks, 6 months | |
Primary | Injury | The number of lower extremity, over-use injuries sustained within 1 year after completing the ten in-field training sessions | 1 year | |
Secondary | Absolute risk reduction | Change in risk for lower extremity, over-use injuries in those that complete step rate retraining | 1 year | |
Secondary | Limited duty days | Number of days a soldier is non-deployable due to a lower extremity, over-use injury | 1 year |
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