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, Kelly Leugers, DPT, OCS, TSAC-F Physical Therapy, Womack Army Medical Center , Fort Liberty, NC 28310, USA Search for other works by this author on: Oxford Academic Sara Mathews, DPT Physical Therapy, Womack Army Medical Center , Fort Liberty, NC 28310, USA Search for other works by this author on: Oxford Academic Rhoda Anderson, DPT Physical Therapy, Womack Army Medical Center , Fort Liberty, NC 28310, USA Search for other works by this author on: Oxford Academic Nicholas Reilly, PhD, ACSM-CEP Physical Therapy, Womack Army Medical Center , Fort Liberty, NC 28310, USA The Geneva Foundation, Womack Army Medical Center , Fort Liberty, NC 28310, USA Search for other works by this author on: Oxford Academic Henry Haltiwanger, DPT Physical Therapy, Womack Army Medical Center , Fort Liberty, NC 28310, USA Search for other works by this author on: Oxford Academic Maria Gonnella, BA Physical Therapy, Womack Army Medical Center , Fort Liberty, NC 28310, USA The Geneva Foundation, Womack Army Medical Center , Fort Liberty, NC 28310, USA Search for other works by this author on: Oxford Academic Don Goss, DPT, PhD, OCS, ATC (Ret.) Physical Therapy, Womack Army Medical Center , Fort Liberty, NC 28310, USA The Geneva Foundation, Womack Army Medical Center , Fort Liberty, NC 28310, USA Department of Physical Therapy, High Point University , High Point, NC 27268, USA Corresponding author: Don Goss, DPT, PhD, OCS, ATC (Ret.), USA (dgoss@highpoint.edu). Search for other works by this author on: Oxford Academic
https://orcid.org/0000-0003-1238-9511 Military Medicine, usae218, https://doi.org/10.1093/milmed/usae218
Published:
21 May 2024
Article history
Received:
29 September 2023
Revision received:
30 January 2024
Editorial decision:
09 April 2024
Accepted:
12 April 2024
Corrected and typeset:
21 May 2024
Published:
21 May 2024
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Kelly Leugers, Sara Mathews, Rhoda Anderson, Nicholas Reilly, Henry Haltiwanger, Maria Gonnella, Don Goss, Viability of Structured Gait Retraining for Improving Clinical Outcomes Following Running-related Injury in Active Duty Service Members, Military Medicine, 2024;, usae218, https://doi.org/10.1093/milmed/usae218
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ABSTRACT
Introduction
All branches of the U.S. Military have a running component of their physical readiness testing battery. Running-related musculoskeletal injuries affect 20 to 40% of DoD Service Members each year. Running form has not historically been addressed with military running-related injuries. To assess the utility of a structured gait retaining protocol designed to treat the onset of running-related pain and/or injury by correcting identified biomechanical risk factors for injury and improve clinical outcomes.
Study Design
Case series.
Materials and Methods
A total of 160 Active Duty Service Members (ADSMs) with running-related lower-body musculoskeletal injuries were referred by a physical therapist for a multisession gait retraining program termed “Run with CLASS” (Cadence, Lean, Alignment, Soft-landing, Strike). Run with CLASS utilized various drills to emphasize impact progression, proximal strengthening, and proprioception and spatial awareness.
Results
Results revealed that the implemented gait retraining protocol significantly improved running parameters following lower-body injury as evidenced by increased cadence, improved functional assessment scores, and a marked transition from predominantly heel strike to forefoot strike patterns during running.
Conclusions
A 3-week supervised gait retraining program focused on the gait retraining program termed “Run with CLASS” (Cadence, Lean, Alignment, Soft-landing, Strike) was successful in altering biomechanics of self-selected running gait by increasing cadence and transitioning ADSMs to a forefoot foot strike. Additionally, ADSMs reported significant improvements on the self-reported functional scores on the University of Wisconsin Running Injury and Recovery Index and Single Assessment Numerical Evaluation.
Level of Evidence
4
© The Association of Military Surgeons of the United States 2024. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site–for further information please contact journals.permissions@oup.com.
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/pages/standard-publication-reuse-rights)
Topic:
- gait
- biomechanics
- forefoot
- heel
- military personnel
- pain
- proprioception
- wisconsin
- foot
- treatment outcome
- musculoskeletal injuries
- physical therapists
- self-report
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