Increased Barefoot Stride Variability Might Be Predictor Rather than Risk Factor for Overuse Injury in the Military
Footwear usage could be a promising focus in reducing musculoskeletal injury risk in lower extremities commonly observed among the military. The goal of this research was to find potential gait-related risk factors for lower leg overuse injuries. Cases ( = 32) were active-duty infantry soldiers who...
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| Veröffentlicht in: | International journal of environmental research and public health 2023-07, Vol.20 (15), p.6449 |
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| creator | Nesterovica-Petrikova, Darja Vaivads, Normunds Stepens, Ainārs |
| description | Footwear usage could be a promising focus in reducing musculoskeletal injury risk in lower extremities commonly observed among the military. The goal of this research was to find potential gait-related risk factors for lower leg overuse injuries. Cases (
= 32) were active-duty infantry soldiers who had suffered an overuse injury in the previous six months of service before enrolling in the study. The control group (
= 32) included infantry soldiers of the same age and gender who did not have a history of lower leg overuse injury. In the gait laboratory, individuals were asked to walk on a 5-m walkway. Rearfoot eversion, ankle plantar/dorsiflexion and stride parameters were evaluated for barefoot and shod conditions. Barefoot walking was associated with higher stride time variability among cases. According to the conditional regression analysis, stride time variability greater than 1.95% (AUC = 0.77, 95% CI (0.648 to 0.883),
< 0.001) during barefoot gait could predict lower leg overuse injury. Increased barefoot gait variability should be considered as a possible predictive factor for lower leg overuse injury in the military, and gait with military boots masked stride-related differences between soldiers with and without lower leg overuse injury. |
| doi_str_mv | 10.3390/ijerph20156449 |
| format | Article |
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= 32) were active-duty infantry soldiers who had suffered an overuse injury in the previous six months of service before enrolling in the study. The control group (
= 32) included infantry soldiers of the same age and gender who did not have a history of lower leg overuse injury. In the gait laboratory, individuals were asked to walk on a 5-m walkway. Rearfoot eversion, ankle plantar/dorsiflexion and stride parameters were evaluated for barefoot and shod conditions. Barefoot walking was associated with higher stride time variability among cases. According to the conditional regression analysis, stride time variability greater than 1.95% (AUC = 0.77, 95% CI (0.648 to 0.883),
< 0.001) during barefoot gait could predict lower leg overuse injury. Increased barefoot gait variability should be considered as a possible predictive factor for lower leg overuse injury in the military, and gait with military boots masked stride-related differences between soldiers with and without lower leg overuse injury.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph20156449</identifier><identifier>PMID: 37568990</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Ankle ; Biomechanics ; Communication ; Contact angle ; Gait ; Injuries ; Kinematics ; Military personnel ; Normal distribution ; Recovery (Medical) ; Shoes & boots ; Software ; Statistical analysis ; Walking</subject><ispartof>International journal of environmental research and public health, 2023-07, Vol.20 (15), p.6449</ispartof><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 by the authors. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2899-4ad8acddd3376ed773106d5711f6db5b4b6c2358c11a29ae58c0b15dce6aa8713</cites><orcidid>0000-0003-1344-0067</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10418758/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10418758/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37568990$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nesterovica-Petrikova, Darja</creatorcontrib><creatorcontrib>Vaivads, Normunds</creatorcontrib><creatorcontrib>Stepens, Ainārs</creatorcontrib><title>Increased Barefoot Stride Variability Might Be Predictor Rather than Risk Factor for Overuse Injury in the Military</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Footwear usage could be a promising focus in reducing musculoskeletal injury risk in lower extremities commonly observed among the military. The goal of this research was to find potential gait-related risk factors for lower leg overuse injuries. Cases (
= 32) were active-duty infantry soldiers who had suffered an overuse injury in the previous six months of service before enrolling in the study. The control group (
= 32) included infantry soldiers of the same age and gender who did not have a history of lower leg overuse injury. In the gait laboratory, individuals were asked to walk on a 5-m walkway. Rearfoot eversion, ankle plantar/dorsiflexion and stride parameters were evaluated for barefoot and shod conditions. Barefoot walking was associated with higher stride time variability among cases. According to the conditional regression analysis, stride time variability greater than 1.95% (AUC = 0.77, 95% CI (0.648 to 0.883),
< 0.001) during barefoot gait could predict lower leg overuse injury. Increased barefoot gait variability should be considered as a possible predictive factor for lower leg overuse injury in the military, and gait with military boots masked stride-related differences between soldiers with and without lower leg overuse injury.</description><subject>Ankle</subject><subject>Biomechanics</subject><subject>Communication</subject><subject>Contact angle</subject><subject>Gait</subject><subject>Injuries</subject><subject>Kinematics</subject><subject>Military personnel</subject><subject>Normal distribution</subject><subject>Recovery (Medical)</subject><subject>Shoes & boots</subject><subject>Software</subject><subject>Statistical analysis</subject><subject>Walking</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkc9PFDEUxxujEUSvHk0TL14W2-mP6ZyMEJFNMBgUrs2b9i3TdXa6th2S_e-tgAQ8NH15_fSb73tfQt5ydihExz6GNabt0DCutJTdM7LPtWYLqRl__qjeI69yXjMmjNTdS7InWqVN17F9kpeTSwgZPT2ChKsYC_1RUvBIryAF6MMYyo5-C9dDoUdIvyf0wZWY6AWUARMtA0z0IuRf9ARu-6t6zm8wzRnpclrPaUfDVDGsIlUL0u41ebGCMeOb-_uAXJ58-Xl8ujg7_7o8_ny2cE01t5DgDTjvvRCtRt-2gjPtVcv5Svte9bLXrhHKOM6h6QBrxXquvEMNYFouDsinO93t3G-w9qeSYLTbFDbVhY0Q7NOXKQz2Ot5YziQ3rTJV4cO9Qoq_Z8zFbkJ2OI4wYZyzbYxighvF24q-_w9dxzlNdb5KyTpPIztZqcM7yqWYc933gxvO7N9A7dNA64d3j2d4wP8lKP4A6MGenA</recordid><startdate>20230726</startdate><enddate>20230726</enddate><creator>Nesterovica-Petrikova, Darja</creator><creator>Vaivads, Normunds</creator><creator>Stepens, Ainārs</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1344-0067</orcidid></search><sort><creationdate>20230726</creationdate><title>Increased Barefoot Stride Variability Might Be Predictor Rather than Risk Factor for Overuse Injury in the Military</title><author>Nesterovica-Petrikova, Darja ; 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The goal of this research was to find potential gait-related risk factors for lower leg overuse injuries. Cases (
= 32) were active-duty infantry soldiers who had suffered an overuse injury in the previous six months of service before enrolling in the study. The control group (
= 32) included infantry soldiers of the same age and gender who did not have a history of lower leg overuse injury. In the gait laboratory, individuals were asked to walk on a 5-m walkway. Rearfoot eversion, ankle plantar/dorsiflexion and stride parameters were evaluated for barefoot and shod conditions. Barefoot walking was associated with higher stride time variability among cases. According to the conditional regression analysis, stride time variability greater than 1.95% (AUC = 0.77, 95% CI (0.648 to 0.883),
< 0.001) during barefoot gait could predict lower leg overuse injury. Increased barefoot gait variability should be considered as a possible predictive factor for lower leg overuse injury in the military, and gait with military boots masked stride-related differences between soldiers with and without lower leg overuse injury.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>37568990</pmid><doi>10.3390/ijerph20156449</doi><orcidid>https://orcid.org/0000-0003-1344-0067</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Ankle Biomechanics Communication Contact angle Gait Injuries Kinematics Military personnel Normal distribution Recovery (Medical) Shoes & boots Software Statistical analysis Walking |
| title | Increased Barefoot Stride Variability Might Be Predictor Rather than Risk Factor for Overuse Injury in the Military |
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