• 1.

    Videbæk S, Bueno AM, Nielsen RO, et al: Incidence of running-related injuries per 1000 h of running in different types of runners: a systematic review and meta-analysis. Sports Med 45: 1017, 2015.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Couture CJ, Karlson KA: Tibial stress injuries: decisive diagnosis and treatment of “shin splints.” Phys Sportsmed 30: 29, 2002.

  • 3.

    Winkelmann ZK, Anderson D, Games KE, et al: Risk factors for medial tibial stress syndrome in active individuals: an evidence-based review. J Athl Train 51: 1049, 2016.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Newman P, Witchalls J, Waddington G, et al: Risk factors associated with medial tibial stress syndrome in runners: a systematic review and meta-analysis. Open Access J Sports Med 4: 229, 2013.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Sharma J, Golby J, Greeves J, et al: Biomechanical and lifestyle risk factors for medial tibia stress syndrome in army recruits: a prospective study. Gait Posture 33: 361, 2011.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Bouche RT, Johnson CH: Medial tibial stress syndrome (tibial fasciitis): a proposed pathomechanical model involving fascial traction. JAPMA 97: 31, 2007.

  • 7.

    Fukano M, Inami T, Nakagawa K, et al: Foot posture alteration and recovery following a full marathon run. Eur J Sport Sci 18: 1338, 2018.

  • 8.

    Mei Q, Gu Y, Sun D, et al: How foot morphology changes influence shoe comfort and plantar pressure before and after long distance running? Acta Bioeng Biomech 20: 179, 2018.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Linton L, Valentin S: Running with injury: a study of UK novice and recreational runners and factors associated with running related injury. J Sci Med Sport 21: 1221, 2018.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Mei Q, Gu Y, Xiang L, et al: Foot pronation contributes to altered lower extremity loading after long distance running. Front Physiol 10: 573, 2019.

  • 11.

    Takabayashi T, Edama M, Inai T, et al: Effect of gender and load conditions on foot arch height index and flexibility in Japanese youths. J Foot Ankle Surg 59: 1144, 2020.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Ohya S, Nakamura M, Aoki T, et al: The effect of a running task on muscle shear elastic modulus of posterior lower leg. J Foot Ankle Res 10: 56, 2017.

  • 13.

    Olin ED, Gutierrez GM: EMG and tibial shock upon the first attempt at barefoot running. Hum Mov Sci 32: 343, 2013.

  • 14.

    Beierle R, Burton P, Smith H, et al: The effect of barefoot running on emg activity in the gastrocnemius and tibialis anterior in active college-aged females. Int J Exerc Sci 12: 1110, 2019.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Li J, Song Y, Xuan R, et al: Effect of long-distance running on inter-segment foot kinematics and ground reaction forces: a preliminary study. Front Bioeng Biotechnol 10: 833774, 2022.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Bisiaux M, Moretto P: The effects of fatigue on plantar pressure distribution in walking. Gait Posture 28: 693, 2008.

  • 17.

    Edama M, Onishi H, Kubo M, et al: Gender differences of muscle and crural fascia origins in relation to the occurrence of medial tibial stress syndrome. Scand J Med Sci Sports 27: 203, 2017.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Song Y, Cen X, Chen H, et al: The influence of running shoe with different carbon-fiber plate designs on internal foot mechanics: a pilot computational analysis. J Biomech 153: 111597, 2023.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Yang Z, Cui C, Wan X, et al: Design feature combinations effects of running shoe on plantar pressure during heel landing: a finite element analysis with Taguchi optimization approach. Front Bioeng Biotechnol 10: 959842, 2022.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Liu X, Zhang M: Redistribution of knee stress using laterally wedged insole intervention: finite element analysis of knee–ankle–foot complex. Clin Biomech 28: 61, 2013.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Xiang L, Gu Y, Mei Q, et al: Automatic classification of barefoot and shod populations based on the foot metrics and plantar pressure patterns. Front Bioeng Biotechnol 10: 843204, 2022.

    • PubMed
    • Search Google Scholar
    • Export Citation

Effect of Repetitive Loading from 5 km of Running on Plantar Pressure in Healthy Young Participants

Momoka Takahashi Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan.

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Tomoya Takabayashi Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan.
Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan.

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Hajime Kamijo Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan.

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Takanori Kikumoto Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan.
Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan.

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Masayoshi Kubo Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan.
Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan.

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Background: Repetitive loading during running is associated with the occurrence of running injuries. Several previous studies have assessed plantar pressure before, during, and after running. However, the difference in plantar pressure before and after 5 km of running has not been investigated. A 5-km running distance can be easily achieved by novice and recreational runners. There is evidence that novice runners are more likely to experience injuries from running compared with experienced runners. This study aimed to examine changes in plantar pressure before and after 5 km of running.

Methods: Ten healthy adult men were asked to run 5 km on a treadmill. The foot plantar pressure area was measured before and after running. Plantar pressure data were divided according to the following areas: toe, metatarsal, heel, medial, lateral, anterior, and posterior. The peak values of each area during the stance phase were compared before and after 5 km of running using paired t test or Wilcoxon signed rank test.

Results: The peak value of plantar pressure on the hallux (P = .01), first metatarsal (P < .01), toe (hallux, second–fifth toes) (P = .04), and medial (metatarsal, first metatarsal, medial heel) (P = .04) areas was significantly lower after running than before running.

Conclusions: Plantar pressure of the medial and anterior foot areas after 5 km of running decreased. This may be because the participants were adopting a strategy that avoided overloading the medial and anterior foot area throughout 5 km of running. To elucidate this involved mechanism, future research should focus on related muscle activity.

Corresponding author: Tomoya Takabayashi, PhD, Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan. (E-mail: takabayashi@nuhw.ac.jp)
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