GROUND REACTION FORCE, FOOT PRESSURE, AND HAMSTRINGS TO QUADRICEPS RATIO IN RECREATIONAL RUNNERS WITH AND WITHOUT LOWER LIMB INJURY HISTORY
Keywords:
H/Q Ratio, Ground Reaction Force, Runners, Lower Limb InjuryAbstract
This study was aim to examine the comparison and correlation of ground reaction force, foot pressure, and hamstrings to quadriceps ratio in recreational runners with and without lower limb injury history. Forty-nine recreational runners, who participated in the running assessment project at the physical therapy center, faculty of physical therapy, Mahidol university, were recruited in this study. According to the inclusion criteria, the data of 35 runners, who were 14 females and 21 males, were selected and divided into two groups: runners with (n = 19) and without (n = 16) lower limb injury history. All participants were tested the H/Q ratio using the isokinetic dynamometer at an angular velocity of 60, 120, and 180 degrees per second (º/s). The maximum ground reaction force and foot pressure were collected during walking with a gait analysis system (Zebris FDM-T). Comparison and correlation studies were analyzed with an independent t-test and Pearson’s correlation, respectively. A group of runners with lower limb injury history showed significantly higher maximum pressure at the midfoot and the heel than runners without lower limb injury history. Additionally, in runners without lower limb injury history, there was a significantly negative correlation between the H/Q ratio at all angular velocities and maximum force of a midfoot and a significantly positive correlation between the H/Q ratio at all angular velocities and maximum pressure at the forefoot. This study demonstrates that runners without lower limb injury history might have greater hamstrings and quadriceps femoris muscle balance, which could minimize the pressure at mid-foot and heel. Less impact on the ground could prevent the risk of lower limb injury. In order to provide management in runners with lower limb injuries, this study recommended that balancing between the Hamstring and Quadriceps muscles should be concerned in management of runners with lower limb injuries.
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Van Gent, R. N., Siem, D., Van Middelkoop, M., Van Os, A. G., Bierma-Zeinstra, S. M. A., and Koes, B. W. (2007). Incidence and determinants of lower extremity running injuries in long distance runners: A systematic review. British Journal of Sports Medicine, 41(8), 469-480.
Upiriyasakul, R., Bovonsunthonchai, S., Sakunkaruna, Y., Sakunkaruna, S., Thong-On, S., Laisirirungrai, D. (2015). Incidence of injuries in marathon runners; bangkok marathon.Journal of Sports Science and Technology, 15(1), 171-178.
Mongkonpattarasuk, A., Sinsurin, K., Warathanagassame, P., Sungnak, P., and Suttiwiriyakul, L. (2018). Lower extremity injuries and associated factors in marathon runners: A survey study in bangkok marathon 2013. Journal of Sports Science and Technology, 18(2), 73-80.
Damsted, C., Parner, E. T., Sørensen, H., Malisoux, L., Hulme, A., and Nielsen, R. Ø. (2019). The association between changes in Weekly running distance and Running–Related injury: Preparing for a half marathon. journal of orthopedic & sports physical therapy, 49(4), 230-238.
Thijs, Y., De Clercq, D., Roosen, P., and Witvrouw, E. (2008). Gait-related intrinsic risk factors for patellofemoral pain in novice recreational runners. British Journal of Sports Medicine, 42(6), 466-471.
Yeung, S. S., Suen, A. M. Y., and Yeung, E. W. (2009). A prospective cohort study of hamstring injuries in competitive sprinters:
Preseason muscle imbalance as a possible risk factor. British Journal of Sports Medicine, 43(8), 589-594.
Grygorowicz, M., Kubacki, J., Pilis, W., Gieremek, K., and Rzepka, R. (2010). Selected isokinetic tests in knee injury prevention. Biology of Sport, 27(1), 47-51.
Aagaard, P., Simonsen, E. B., Magnusson, S. P., Larsson, B., and Dyhre-Poulsen, P. (1998). A new concept for isokinetic hamstring: Quadriceps muscle strength ratio. The American journal of sports medicine, 26(2), 231-237.
Ruas, C. V., Pinto, R. S., Haff, G. G., Lima, C. D., Pinto, M. D., and Brown, L. E. (2019). Alternative methods of determining hamstrings-to-quadriceps ratios: A comprehensive review. Sports medicine-open, 5(1), 1-14.
Ruas, C. V., Minozzo, F., Pinto, M. D., Brown, L. E., and Pinto, R. S. (2015). Lower-extremity strength ratios of professional soccer players according to field position. The Journal of Strength & Conditioning Research, 29(5), 1220-1226.
Cook, T. M., Farrell, K. P., Carey, I. A., Gibbs, J. M., and Wiger, G. E. (1997). Effects of Restricted Knee Flexion and Walking Speed on the Vertical Ground Reaction Force During Gait. journal of orthopaedic & sports physical therapy, 25(4), 236-244.
Van Ginckel, A., Thijs, Y., Hesar, N. G. Z., Mahieu, N., De Clercq, D., Roosen, P., and Witvrouw, E. (2009). Intrinsic gait-related risk factors for Achilles tendinopathy in novice runners: A prospective study. Gait & posture, 29(3), 387-391.
Witvrouw, E., Lysens, R., Bellemans, J., Cambier, D., and Vanderstraeten, G. (2000). Intrinsic risk factors for the development of anterior knee pain in an athletic population: A two-year prospective study. The American journal of sports medicine, 28(4), 480-489.
Coombs, R., and Garbutt, G. (2002). Developments in the use of the hamstring/quadriceps ratio for the assessment of muscle balance. Journal of Sports Science and Medicine, 1(3), 56-62.
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