Background Abnormal biomechanics have been cited as a potential risk factor for running-related injury. Many modifiable biomechanical risk factors have also been proposed in the literature as interventions via gait retraining. Aim To determine which interventions have successfully modified biomechanical variables linked to running-related injury. Study design Systematic literature review. Methods MEDLINE, EMBASE, CINAHL, SportDiscus and PSYCINFO were searched using key terms related to running biomechanics and gait retraining. Quality of included studies was assessed using the modified Downs and Black Quality Index and a best evidence synthesis was performed. Results 27 studies investigating the effect of biomechanical interventions on kinetic, kinematic and spatiotemporal variables were included in this review. Foot strike manipulation had the greatest effect on kinematic measures (conflicting evidence for proximal joint angles; strong evidence for distal joint angles), real-time feedback had the greatest effect on kinetic measures (ranging from conflicting to strong evidence), and combined training protocols had the greatest effect on spatiotemporal measures (limited to moderate evidence). Conclusions Overall, this systematic review shows that many biomechanical parameters can be altered by running modification training programmes. These interventions result in short term small to large effects on kinetic, kinematic and spatiotemporal outcomes during running. In general, runners tend to employ a distal strategy of gait modification unless given specific cues. The most effective strategy for reducing high-risk factors for running-related injury—such as impact loading—was through real-time feedback of kinetics and/or kinematics.

Abnormal running kinematics are associated with an increased incidence of lower extremity injuries among runners. Accurate and unobtrusive running kinematic measurement plays an important role in the detection of gait abnormalities and the prevention of injuries among runners. Inertial-based methods have been proposed to address this need. However, previous methods require cumbersome sensor setup or participant-specific calibration. This study aims to validate a shoe-mounted accelerometer for sagittal plane lower extremity angle measurement during running based on a deep learning approach. A convolutional neural network (CNN) architecture was selected as the regression model to generalize in inter-participant scenarios and to minimize poorly estimated joints. Motion and accelerometer data were recorded from ten participants while running on a treadmill at five different speeds. The reference joint angles were measured by an optical motion capture system. The CNN model predictions deviated from the reference angles with a root mean squared error (RMSE) of less than 3.5° and 6.5° in intra- and inter-participant scenarios, respectively. Moreover, we provide an estimation of six important gait events with a mean absolute error of less than 2.5° and 6.5° in intra- and inter-participants scenarios, respectively. This study highlights an appealing minimal sensor setup approach for gait analysis purposes.

The vertical ground reaction force (vGRF) and its passive and active peaks are important gait parameters and of great relevance for musculoskeletal injury analysis and prevention, the detection of gait abnormities, and the evaluation of lower-extremity prostheses. Most currently available methods to estimate the vGRF require a force plate. However, in real-world scenarios, gait monitoring would not be limited to a laboratory setting. This paper reports a novel solution using machine learning algorithms to estimate the vGRF and the timing and magnitude of its peaks from data collected by a single inertial measurement unit (IMU) on one of the lower limb locations. Nine volunteers participated in this study, walking on a force plate-instrumented treadmill at various speeds. Four IMUs were worn on the foot, shank, distal thigh, and proximal thigh, respectively. A random forest model was employed to estimate the vGRF from data collected by each of the IMUs. We evaluated the performance of the models against the gold standard measurement of the vGRF generated by the treadmill. The developed model achieved a high accuracy with a correlation coefficient, root mean square error, and normalized root mean square error of 1.00, 0.02 body weight (BW), and 1.7% in intra-participant testing, and 0.97, 0.10 BW, and 7.15% in inter-participant testing, respectively, for the shank location. The difference between the reference and estimated passive force peak values was 0.02 BW and 0.14 BW with a delay of −0.14% and 0.57% of stance duration for the intra- and inter-participant testing, respectively; the difference between the reference and estimated active force peak values was 0.02 BW and 0.08 BW with a delay of 0.45% and 1.66% of stance duration for the intra- and inter-participant evaluation, respectively. We concluded that vertical ground reaction force can be estimated using only a single IMU via machine learning algorithms. This research sheds light on the development of a portable wearable gait monitoring system reporting the real-time vGRF in real-life scenarios.

Continuous kinematic monitoring of runners is crucial to inform runners of inappropriate running habits. Motion capture systems are the gold standard for gait analysis, but they are spatially limited to laboratories. Recently, wearable sensors have gained attention as an unobtrusive method to analyze performance metrics and the health conditions of runners. In this study, we developed a system capable of estimating joint angles in sagittal, frontal, and transverse planes during running. A prototype with fiber strain sensors was fabricated. The positions of the sensors on the pelvis were optimized using a genetic algorithm. A cohort of ten people completed 15 min of running at five different speeds for gait analysis by our prototype device. The joint angles were estimated by a deep convolutional neural network in inter- and intra-participant scenarios. In intra-participant tests, root mean square error (RMSE) and normalized root mean square error (NRMSE) of less than 2.2° and 5.3%, respectively, were obtained for hip, knee, and ankle joints in sagittal, frontal, and transverse planes. The RMSE and NRMSE in inter-participant tests were less than 6.4° and 10%, respectively, in the sagittal plane. The accuracy of this device and methodology could yield potential applications as a soft wearable device for gait monitoring of runners.