Der Einfluss von lokaler Muskelermüdung und Fußaufsatztechnik auf die kinematischen Merkmale und die plantare Druckverteilung beim Laufen

Zusammenfassung

Trotz zahlreicher Studien liegen keine eindeutigen Befunde vor, die eine bedeutsame Aussage darüber treffen, wie sich der Fußaufsatz durch eine muskuläre Ermüdung verändert. Bei Untersuchungen mit Laufermüdung kann nicht differenziert werden, welche kinematischen oder kinetischen Veränderungen ein unmittelbares Ergebnis der lokalen Muskelermüdung und variierten Geschwindigkeiten darstellen. Ziel der Studie war die Untersuchung der Wirkung der Fußaufsatztechnik und der lokalen Muskelermüdung der Plantar- und Dorsalflexoren auf die plantare Druckverteilung sowie ausgewählte kinematische Merkmale beim Laufen auf dem Laufband. An der Studie nahmen 26 freiwillige Vor- und Rückfußläufer*innen vergleichbaren Alters und vergleichbarer Körpermasse teil. Jede Gruppe absolvierte 2 Testabläufe mit einem zeitlichen Abstand von 3–7 Tagen. Die kinematische Datenerfassung erfolgte mithilfe eines 3-dimensionalen Mess- und Analysesystems während des Laufens auf dem Laufband. Das Ermüdungsprotokoll umfasste einen isometrischen Maximalkrafttest und einen isokinetischen Ausdauertest. Zur Überprüfung der Unterschiede wurde eine 2-faktorielle Varianzanalyse mit Messwiederholung berechnet. Die Kraftwerte der beiden Läufer*innengruppen wiesen signifikante Unterschiede bei den Plantarflexoren im Kraftausdauertest und beim Ermüdungsindex mit im Durchschnitt höheren Werten der Rückfußläufer*innen sowohl für das linke als auch das rechte Bein. Die Ergebnisse der Kraftwerte überraschen, denn aufgrund des Vorfußaufsatzes beim regelmäßigen Laufen sollten die Plantarflexoren dieser Läufer*innengruppe gut trainiert sein. Nach Ermüdung reduzierten sich die Druckmaxima unter den exponiert belasteten Fußzonen, d.h. unter dem Vorderfuß beim Vorfußaufsatz und unter der Ferse beim Rückfußaufsatz. Die beiden Läufer*innengruppen differierten im Fußwinkel bei Foot on mit höheren Werten der Vorfußläufer*innen. Der größere Fußwinkel der Vorfußläufer*innen verbessert die Schockabsorption und kann so das Verletzungsrisiko verringern. In einer weiteren Studie sollten gewohnheitsmäßige Barfußläufer*innen ausgewählt werden.

Abstract

Although numerous studies have been performed, there are no clear findings providing a meaningful statement about how foot strike changes as a result of muscular fatigue. In studies on running fatigue, it is not possible to differentiate which kinematic or kinetic changes are a direct result of local muscle fatigue and varied speeds. This study aimed to investigate the effect of foot strike technique and localized muscle fatigue of the plantar and dorsal flexors on plantar pressure distribution and selected kinematic features of treadmill running. Twenty-six voluntary forefoot and rearfoot runners of similar age and body mass participated in the study. Each group completed two tests with a time interval of 3–7 days. The kinematic data was measured with the help of a three-dimensional measuring and analysis system while the volunteers ran on the treadmill. The fatigue protocol included an isometric maximal force test and an isokinetic endurance test. In order to check the differences, a variance analysis with repeated measurements was used. The strength values of the two groups of runners showed significant average differences in the plantar flexors in the endurance test and in the fatigue index for both the left and right legs. The results of the strength values are surprising because the plantar flexors of this group of runners should be well-trained due to the forefoot strike during regular running. In response to fatigue, the pressure maxima decreased under the exposed foot regions, i.e. under the forefoot at forefoot strike and under the heel at rearfoot strike. The two groups of runners differed in foot angle at foot-on with higher values measured in the forefoot runners. The larger foot angle of the forefoot runners improved shock absorption and can thus reduce the risk of injury.

Schlüsselwörter

lokale Muskelermüdung - Fußaufsatztechnik - kinematische Merkmale

Keywords

local muscle fatigue - foot strike technique - kinematic features

Publication History

Received: 30 March 2022

Accepted after revision: 27 June 2022

Article published online:
29 November 2022

• Literatur

• 1 Knechtle B, Nikolaidis PT. Wie weit muss man laufen, um 1 kg Fett zu verlieren?. Praxis 2017; 106 (21) 1183-1190
• 2 Daoud AI, Geissler GJ, Wang F. et al. Foot strike and injury rates in endurance runners: a retrospective study. Med Sci Sports Exerc 2012; 44: 1325-1334 DOI: 10.1249/MSS.0b013e3182465115. (PMID: 22217561)
• 3 Kemler E, Romeijn K, Vriend I. et al. The relationship between the use of running applications and running-related injuries. Physi sportsmed 2018; 46: 73-77
• 4 Cavanagh PR, Lafortune MA. Ground reaction forces in distance running. J Biomech 1980; 13: 397-406 DOI: 10.1016/0021-9290(80)90033-0. (PMID: 7400169)
• 5 Hamill J, Russell EM, Gruber AH. et al. Impact characteristics in shod and barefoot running. Foot Sci 2011; 3: 33-40
• 6 Fellin RE, Manal K, Davis IS. Comparison of lower extremity kinematic curves during overground and treadmill running. J Appl biomech 2010; 26: 407 DOI: 10.1123/jab.26.4.407. (PMID: 21245500)
• 7 Giandolini M, Arnal PJ, Millet GY. et al. Impact reduction during running: efficiency of simple acute interventions in recreational runners. Eur J Appl Physio 2013; 113: 599-609
• 8 Lieberman DE, Venkadesan M, Werbel WA. et al. Foot strike patterns and collision forces in habitually barefoot versus shod runners. Nature 2010; 463: 531-535 DOI: 10.1038/nature08723. (PMID: 20111000)
• 9 Mullen S, Toby EB. Adolescent runners: the effect of training shoes on running kinematics. J. J Pedi Ortho 2013; 33: 453-457 DOI: 10.1097/BPO.0b013e31829241dc. (PMID: 23653037)
• 10 Brown AM, Zifchock RA, Hillstrom HJ. The effects of limb dominance and fatigue on running biomechanics. Gait & posture 2014; 39: 915-919 DOI: 10.1016/j.gaitpost.2013.12.007. (PMID: 24405748)
• 11 Kowalski E, Li JX. Lower limb joint angles and ground reaction forces in forefoot strike and rearfoot strike runners during overground downhill and uphill running. Sports Biomech 2016; 15: 497-512 DOI: 10.1080/14763141.2016.1185458. (PMID: 27250859)
• 12 Laughton CA, Davis IM, Hamill J. Effect of strike pattern and orthotic intervention on tibial shock during running. J Appl Biomech 2003; 19: 153-68
• 13 Hasegawa H, Yamauchi T, Kraemer WJ. Foot strike patterns of runners at the 15-km point during an elite-level half marathon. J Strength Cond Res 2007; 21: 888-893 DOI: 10.1519/R-22096.1. (PMID: 17685722)
• 14 Bisiaux M, Moretto P. The effects of fatigue on plantar pressure distribution in walking. Gait & Posture 2008; 28: 693-698 DOI: 10.1016/j.gaitpost.2008.05.009. (PMID: 18586495)
• 15 Willems TM, De Ridder R, Roosen P. The effect of a long-distance run on plantar pressure distribution during running. Gait &Posture 2012; 35: 405-409 DOI: 10.1016/j.gaitpost.2011.10.362. (PMID: 22153665)
• 16 Weist R, Eils E, Rosenbaum D. The influence of muscle fatigue on electromyogram and plantar pressure patterns as an explanation for the incidence of metatarsal stress fractures. Amer J Sports Med 2004; 32: 1893-1898 DOI: 10.1177/0363546504265191. (PMID: 15572318)
• 17 García-Pérez JA, Pérez-Soriano P, Llana S. et al. Effect of overground vs treadmill running on plantar pressure: Influence of fatigue. Gait & Posture 2013; 38: 929-933 DOI: 10.1016/j.gaitpost.2013.04.026. (PMID: 23746487)
• 18 Nagel A, Fernholz F, Kibele C. et al. Long distance running increases plantar pressures beneath the metatarsal heads: a barefoot walking investigation of 200 marathon runners. Gait & posture 2008; 27: 152-155 DOI: 10.1016/j.gaitpost.2006.12.012. (PMID: 17276688)
• 19 Hunter I, Smith GA. Preferred and optimal stride frequency, stiffness and economy: changes with fatigue during a 1-h high-intensity run. Eur J Appl Physio 2007; 100: 653-661
• 20 Alfuth M, Rosenbaum D. Long distance running and acute effects on plantar foot sensitivity and plantar foot loading. Neurosci. Lett 2011; 503: 58-62 DOI: 10.1016/j.neulet.2011.08.010. (PMID: 21871535)
• 21 Riley PO, Dicharry J, Franz J. et al. A kinematics and kinetic comparison of overground and treadmill running. Med Sci Sports Exerc 2008; 40: 1093 DOI: 10.1249/MSS.0b013e3181677530. (PMID: 18460996)
• 22 Kellis E, Liassou C. The effect of selective muscle fatigue on sagittal lower limb kinematics and muscle activity during level running. J Ortho Sports Phys Ther 2009; 39: 210-220
• 23 Brüggemann GP. Influence of fatigue on lower extremity function. In ISBS-Conference Proceedings Archive 1996; Vol 1: No.1.
• 24 Christina KA, White SC, Gilchrist LA. Effect of localized muscle fatigue on vertical ground reaction forces and ankle joint motion during running. Hum Move sci 2001; 20: 257-276
• 25 Gefen A, Megido-Ravid M, Itzchak Y. In vivo biomechanical behavior of the human heel padduring the stance phase of gait. J Biomech 2001; 34: 1661-1665
• 26 Derrick TR, Dereu D, McLean SP. Impacts and kinematic adjustments during an exhaustive run. Med Sci Sports Exerc 2002; 34: 998-1002 DOI: 10.1097/00005768-200206000-00015. (PMID: 12048328)
• 27 Kellis E, Kouvelioti V. Agonist versus antagonist muscle fatigue effects on thigh muscle activity and vertical ground reaction during drop landing. J Electro Kines 2009; 19: 55-64
• 28 Keller TS, Weisberger AM, Ray JL. et al. Relationship between vertical ground reaction force and speed during walking, slow jogging and running. Clin Biomech 1996; 11: 253-9 DOI: 10.1016/0268-0033(95)00068-2. (PMID: 11415629)
• 29 Nigg BM, Bahlsen HA, Luethi SM. et al. The influence of running velocity and midsole hardness on external impact forces in heel-toe running. J Biomech 1987; 20: 951-9 DOI: 10.1016/0021-9290(87)90324-1. (PMID: 3693376)
• 30 Mattes K, Hazzaa WEA, Schaffert N. et al. Local concentric muscle fatigue of the ankle dorsiflexors and plantar flexors: A reproducibility study. Isokinet Exerc Sci 2015; 23: 87-92
• 31 Cohen J. Statistic a power primer. Psych Bull 1992; 112 (01) 155-159 DOI: 10.1037//0033-2909.112.1.155.
• 32 Victor A, Elsäßer A, Hommel G. et al. Wie bewertet man die p-Wert-Flut. Dtsch Arztebl Int 2010; 107: 50-6 DOI: 10.3238/arztebl.2010.0050. (PMID: 20165700)
• 33 Van der Harst JJ, Gokeler A, Hof AL. Leg kinematics and kinetics in landing from a single-leg hop for distance. A comparison between dominant and non-dominant leg. Clini Biomech 2007; 22: 674-680
• 34 Goss DL, Gross MT. A review of mechanics and injury trends among various running styles. North Carolina Uni. At Chapel Hill. 2012
• 35 Hamill J, Gruber AH, Derrick TR. Lower extremity joint stiffness characteristics during running with different foot fall patterns. Eur J Sport Sci 2014; 14: 130-136
• 36 Squadrone R, Gallozzi C. Biomechanical and physiological comparison of barefoot and two shod conditions in experienced barefoot runners. J Sports Med Phys Fit 2009; 49: 6-13 (PMID: 19188889)
• 37 Knapik JJ, Orr R, Pope R. et al. Injuries and Footwear (Part 2): Minimalist Running Shoes. J spec oper Med 2016; 16: 89-96 (PMID: 27045504)
• 38 Roth J, Neumann J, Tao M. Orthopaedic perspective on barefoot and minimalist running. J Amer Acadi Ortho Surg 2016; 24: 180-187 DOI: 10.5435/JAAOS-D-14-00343. (PMID: 26808173)
• 39 Rooney BD, Derrick TR. Joint contact loading in forefoot and rearfoot strike patterns during running. J Biomech 2013; 46: 2201-2206
• 40 Shih Y, Lin KL, Shiang TY. Is the foot striking pattern more important than barefoot or shod conditions in running?. Gait & Posture 2013; 38: 490-494 DOI: 10.1016/j.gaitpost.2013.01.030. (PMID: 23507028)
• 41 Guo LY, Su FC, Yang CH. et al. Effects of speed and incline on lower extremity kinematics during treadmill jogging in health subjects. Biomed Engine-Appl., Basis & Communications 2006; 18: 73-79
• 42 Burnfield JM, Few CD, Mohamed OS. et al. The influence of walking speed and footwear on plantar pressures in older adults. Clin Biomech 2004; 19: 78-84 DOI: 10.1016/j.clinbiomech.2003.09.007. (PMID: 14659934)
• 43 Chuckpaiwong B, Nunley JA, Mall NA. et al. The effect of foot type on in-shoe plantar pressure during walking and running. Gait & Posture 2008; 28: 405-411 DOI: 10.1016/j.gaitpost.2008.01.012. (PMID: 18337103)
• 44 Ho IJ, Hou YY, Yang CH. et al. Comparison of plantar pressure distribution between different speed and incline during treadmill jogging. J sports sci. & med 2010; 9: 154 DOI: 10.1177/23259671211008841. (PMID: 34095327)
• 45 Derrick TR, Hamill J, Caldwell GE. Energy absorption of impacts during running at various stride lengths. Med Sci Sports Exerc 1998; 30: 128-35 DOI: 10.1097/00005768-199801000-00018. (PMID: 9475654)