wk 11- biomechanics of running gait Flashcards

1
Q

what is the key difference between walking and running

A

float phase in running instead of double support which includes loading response (which is now weight acceptance) and pre swing phases (absent in running)

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2
Q

phases of running now

A

stance phase: (reduced to 35% from 60%)
loading response, mid stance and terminal stance (no pre swing)

swing phase:
early float, middle swing, late float

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3
Q

when does float phases become longer

A

during faster speeds

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4
Q

stance phase becomes longer during

A

slower speeds

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5
Q

sagittal kinematics of hip and knee (stance)

A

hip- at IC approx 25 degrees flexion (it’s less for walking because less shock to absorb)
reaches approx 25 deg extension around TO

knee- at IC approx 10-20 deg flexed and continues to flex up to approx 40 degrees
during midstance, begins to extend until 5-10 deg flexed around TO

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6
Q

sagittal kinematics of ankle (stance)

A

At IC, slightly dorsiflexed
* Rapid small plantarflexion ‘arc’
(if heel strike pattern)
* After forefoot contact,
dorsiflexion up to approx 20°
* This is only true for HEEL
strikers

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7
Q

sagitall kinematics (stance)

A

At middle of midstance:
peak ankle DF (20°),
knee flexion (40°), and
hip flexion (25°) are
reached
* Ankle plantarflexion,
knee & hip extension
then occur
simultaneously to
generate power for
propulsion

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8
Q

frontal plane kinematics - foot

A

At IC, rearfoot is inverted approx 5-10
deg
– Rearfoot eversion then occurs rapidly
(up to 8-12 deg)
– This motion helps attenuate impact
forces
– Important to note this is NORMAL,
not pathological

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9
Q

transverse plane kinematics - knee

A

At IC, the knee is slightly internally
rotated, continues to internally rotate
approx 8 deg until mid support, then
begins to externally rotate through
propulsion
– Remember the link between foot
pronation and internal shank (tibial)
rotation?

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10
Q

swing phase is aout what % in walking?

A

60

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11
Q

swing phase kinematics for hip, knee and ankle

A

HIP: rapid flexion during midswing (attaining
a position 30-45° flexed ready for IC)

  • KNEE: moves through flexion (up to approx
    100°) then extension (10° flexed ready for
    IC)
  • ANKLE: from a position of peak PF (30°),
    DF now occurs during early float (to 5° DF
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12
Q

foot strike patterns for distance runners and sprints

A

distane:
-80% strike with rearfoot
-20% with midfoot and forefoot

sprinters
-forefoot strike (eccentric loading of achilles to absorb)

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13
Q

muscle control during stance, what muscles are active for stance running

A

controlled fall by the posterior muscles
– Gastroc/soleus
– Tibialis posterior: supports MLA and
controls pronation
– Peroneus brevis: supports the lateral
ankle
– Tibialis anterior: constantly active, but
more active during swing
* Quadriceps:
– Very important during loading response
– Eccentrically control knee flexion
– Absorb impact forces
* Hip extensors are active during weight acceptance
* Add magnus/TFL important for medial/lateral stability of pelvis

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14
Q

muscle control during swing, whats active

A
  • Early float and midswing:
    – Tib anterior (ankle DF)
    – Hamstrings (knee flexion)- more active in running than walking
    – Iliacus and rectus femoris (hip flexion)
  • Late float:
    – Quads (knee extension)
  • Throughout swing, coordinated eccentric and concentric contractions accelerate
    and decelerate the limb
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15
Q

what is biarticular muscles, hamstrings as an example

A

hamstrings cross knee and hip
flexor moment at knee
extensor at hip

hammies grab energy from the eccentric movement from the tibia flying through and sends it to the hip during the concentric movement caused up there (eccentric generates energy, concentric uses energy(

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16
Q

kinetics of running gait, difference between walking and running gait force time curve

A

Peak vertical force occurs approx
halfway through stance
* CoM at lowest point (peak hip & knee
flexion)
* This is opposite to walking gait!

17
Q

revisit GRF for running, COM and peak force

A
18
Q

compared to walking what kind of peak pressures occur

A

increased peak pressure magnitude
The forefoot bears greater pressures for a
longer period of time
* Anatomically, the metatarsal heads are a
quite vulnerable structure

19
Q

running injuries

A

tyoically due to over-training but can be helpful to look at

  • Lower limb biomechanics
  • Running technique
  • Muscle tightness/weakness
  • Inappropriate footwear
20
Q

prac considerations

A
  • If your patient is a runner, you need to watch them running in the clinic
  • A treadmill with video camera can be very helpful in a clinical setting
  • Slow motion replay makes rapid gait cycle events much easier to assess
  • Some clinicians also watch their patients run out on the footpath/training field
  • Assess both barefoot and in their old/new running shoes
  • Note people often adopt a forefoot strike pattern when asked to run barefoot
  • Remember differences between treadmill/indoor/outdoor gait