Work

Curve Analysis of Foot Coupling Kinematics in Runners with Plantar Heel Pain During Running Gait

Year: 2025

Type: article

Abstract: (1) Background: Plantar heel pain (PHP), a common overuse foot injury, significantly impacts runners. While the mechanical role of the plantar fascia during gait is established, its effect on foot function during running, particularly foot joint coupling, remains unclear. This study investigated foot joint coupling during running in runners with and without PHP using statistical parametric mapping (SPM). (2) Methods: Thirteen uninjured runners (seven m, six f; age = 30.5 ± 5.9 years; BMI = 23.5 ± 3.0 kg/m2) and thirteen runners with PHP (six m, seven f; age = 29.0 ± 8.0 years; BMI = 23.1 ± 2.0 kg/m2) performed running trials at 4.0 m/s. A seven-segment foot model that defined six functional articulations (rearfoot, medial and lateral midfoot, medial and lateral forefoot, first metatarsophalangeal) was used to quantify foot kinematics, vector coding was used to calculate joint coupling between adjacent foot segments, and SPM was used to analyze joint stance phase coupling angles. (3) Results: There were statistically significant differences in rearfoot frontal plane–medial midfoot frontal plane joint coupling between runners with and without PHP from 69 to 70% stance phase (mean difference = 39.41°) and at 76% stance (mean difference = 47.89°). The differences were indicative of greater medial midfoot eversion rotation relative to rearfoot complex inversion in the PHP group. (4) Conclusions: The difference in the rearfoot complex and medial midfoot frontal plane coupling occurred during the propulsion phase of the running stance when the foot should be transitioning to a more supinated position, which may reflect compromised supination due to plantar fascia degeneration.

Source: Biomechanics

DOI: 10.3390/biomechanics5020034

Authors: Hanieh Pazhooman, Robin L. Pomeroy, Mohammed S. Alamri, Zahra Mollaei, Stephen C. Cobb

Institutions: University of Wisconsin–Milwaukee, King Saud University

Language: English

Topic: Lower Extremity Biomechanics and Pathologies

Subfield: Biomedical Engineering

Field: Engineering

Domain: Physical Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,207