A Randomized Control Trial: Returning to Run After Injury
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Knee Injuries
- Sponsor
- Keller Army Community Hospital
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Foot Strike Pattern
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
Kyle East
Major, United States Air Force
Keller Army Community Hospital
Eligibility Criteria
Inclusion Criteria
- •Pain free walking 2 miles in 35 minutes
- •Weight bearing dorsiflexion (WBDF) Range of Motion (ROM) 80% symmetry
- •20 unassisted single leg heel raises
- •Recovering from a lower-extremity injury
Exclusion Criteria
- •History of previous stress fracture / fracture of the foot
- •Participant who already uses a non-rearfoot strike running pattern
- •Participant is pregnant
Outcomes
Primary Outcomes
Foot Strike Pattern
Time Frame: 6 months
Analyzed through slow motion camera on an instrumented treadmill.
Secondary Outcomes
- Perceived running pain(6 months)
- Perceived running effort(6 months)
- Perceived effort of running(6 months)