First, this study aims to better understand the predisposition of novice female runners to injury by identifying potential variations in running mechanics and strength between experienced female runners and active novice runners. Secondly, it aimed to assess the relationship between hip and trunk strength with non-sagittal hip kinematics during running. Two female populations were recruited: 19 healthy experienced runners and 19 healthy active novice runners. Strength measurements of the hip abductors and external rotators were measured using a hand held dynamometer while trunk endurance was assessed via a side-plank. Next, an instrumented gait analysis was performed while each participant ran at 3.3m/s. Group comparisons were made using an independent t-test to identify differences in the impact peak, loading rate, peak non-sagittal hip joint angles, trunk endurance, and hip strength. Pearson’s correlation coefficients were calculated between hip kinematics and strength measurements. There weren’t any statistically significant differences in impact peak, loading rate, peak non-sagittal hip kinematics, or strength. However, the novice runners did exhibit a clinically meaningful trend toward increased peak hip internal rotation by 3.8° (effect size 0.520). A decrease in trunk side-plank endurance was associated with an increased peak hip internal rotation angle (r=-0.357, p=0.03), whereas isometric strength was not related to kinematics. Programs aiming to prevent injuries in novice runners should target trunk performance and possibly hip neuromuscular control, rather than hip strength.
Join Alison Grimaldi and Bill Vicenzino in this short online course for a review of the results and clinical implications of the LEAP trial.