A Randomized Control Trial: Returning to Run After Injury
| Status: | Recruiting |
|---|---|
| Conditions: | Hospital, Orthopedic |
| Therapuetic Areas: | Orthopedics / Podiatry, Other |
| Healthy: | No |
| Age Range: | 18 - 55 |
| Updated: | 3/3/2019 |
| Start Date: | October 4, 2018 |
| End Date: | May 1, 2019 |
The purpose of this study is to examine the effectiveness of telehealth via video feedback to
transition rear foot strike runners to non-heel strike runner following a lower extremity
injury. Telehealth re-education gait training is much cheaper than in-clinic retraining
sessions with a medical provider and could be much more widely used by both consumers and
researchers as a training aid, a way to help alter running form, prevent running injuries and
be used as a tool for use in the rehabilitation of running related injuries.
transition rear foot strike runners to non-heel strike runner following a lower extremity
injury. Telehealth re-education gait training is much cheaper than in-clinic retraining
sessions with a medical provider and could be much more widely used by both consumers and
researchers as a training aid, a way to help alter running form, prevent running injuries and
be used as a tool for use in the rehabilitation of running related injuries.
A convenience sample of 30 runners from the United States Military Academy (USMA) at West
Point, New York (NY) who are recovering from a lower-extremity injury and are interested in
participating in a return to run program. Acceptable lower-extremity injuries can include
stress fractures proximal to the ankle, anterior chronic exertional compartment syndrome
(CECS), patella-femoral pain syndrome, osteoarthritis of the lower-extremity, iliotibial band
syndrome, chronic lower-extremity pain and or any participant that may benefit from the
following; shorter stride, increased step rate, reduced knee loading, and reduced ground
reaction force average vertical loading rates (AVLR). All participants will be screened via
questionnaire and physical assessment for inclusion / exclusion from the study. Upon
enrollment runners will be randomized into two groups. Regardless of group, all runners will
have their running form and foot strike pattern analyzed using an instrumented treadmill and
high-speed motion capture initially and at week 10. Kinetic and kinematic data including
AVLR, impulse, foot strike pattern (FSP), contact time, step length, and step rate will be
recorded at these time points. Additionally, all runners will receive the same graduated
return to run intervals and 4-week home exercise program. Runners randomized to the
intervention group will receive additional video tele-health instruction on how to transition
to a non-rearfoot strike (NRFS) running pattern. Runners in the intervention group will have
additional tele-health follow-ups at weeks 1, 2, 4,6, 8, and 10 using a tele-conferencing
program and the Hudl Technique application. At each tele-health video follow-up participants
will be emailed a questionnaire assessing their progress and function. At month 6 a final
data collection session to include video analysis will be performed.
Point, New York (NY) who are recovering from a lower-extremity injury and are interested in
participating in a return to run program. Acceptable lower-extremity injuries can include
stress fractures proximal to the ankle, anterior chronic exertional compartment syndrome
(CECS), patella-femoral pain syndrome, osteoarthritis of the lower-extremity, iliotibial band
syndrome, chronic lower-extremity pain and or any participant that may benefit from the
following; shorter stride, increased step rate, reduced knee loading, and reduced ground
reaction force average vertical loading rates (AVLR). All participants will be screened via
questionnaire and physical assessment for inclusion / exclusion from the study. Upon
enrollment runners will be randomized into two groups. Regardless of group, all runners will
have their running form and foot strike pattern analyzed using an instrumented treadmill and
high-speed motion capture initially and at week 10. Kinetic and kinematic data including
AVLR, impulse, foot strike pattern (FSP), contact time, step length, and step rate will be
recorded at these time points. Additionally, all runners will receive the same graduated
return to run intervals and 4-week home exercise program. Runners randomized to the
intervention group will receive additional video tele-health instruction on how to transition
to a non-rearfoot strike (NRFS) running pattern. Runners in the intervention group will have
additional tele-health follow-ups at weeks 1, 2, 4,6, 8, and 10 using a tele-conferencing
program and the Hudl Technique application. At each tele-health video follow-up participants
will be emailed a questionnaire assessing their progress and function. At month 6 a final
data collection session to include video analysis will be performed.
Inclusion Criteria:
1. Pain free walking 2 miles in 35 minutes
2. Weight bearing dorsiflexion (WBDF) Range of Motion (ROM) 80% symmetry
3. 20 unassisted single leg heel raises
4. Recovering from a lower-extremity injury
Exclusion Criteria:
1. History of previous stress fracture / fracture of the foot
2. Participant who already uses a non-rearfoot strike running pattern
3. Participant is pregnant
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