Running retraining to treat lower limb injuries: a mixed-methods study of current evidence synthesised with expert opinion

This is a review published last year by Christian Barton et al in the BJSM on the use of running retraining to treat lower limb injuries.

Published online: 14 Apr 2016

Open-access: YES


“Limited evidence supports the effectiveness of transition from rearfoot to forefoot or midfoot strike and increase step rate or altering proximal mechanics in individuals with anterior exertional lower leg pain; and visual and verbal feedback to reduce hip adduction in females with patellofemoral pain.”

“Despite the paucity of clinical evidence, experts recommended running retraining for: iliotibial band syndrome; plantar fasciopathy (fasciitis); Achilles, patellar, proximal hamstring and gluteal tendinopathy; calf pain; and medial tibial stress syndrome. Tailoring approaches to each injury and individual was recommended to optimise outcomes.

“Substantial evidence exists for the immediate biomechanical effects of running retraining interventions (46 studies), including evaluation of step rate and strike pattern manipulation, strategies to alter proximal kinematics and cues to reduce impact loading variables.”


“Summary and relevance: Our synthesis of published evidence related to clinical outcomes and biomechanical effects with expert opinion indicates running retraining warrants consideration in the treatment of lower limb injuries in clinical practice.”

I really enjoy the mixed-methods format that Christian Barton has advocated for a number of reviews that he has done, including the ones for PFP. It really adds to the review by including the opinions of experts in the area of interest and making it more clinically relevant for the readers.

Please click here to read the full article. Or click here to get the PDF version of the review.


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