DOI of the published article https://doi.org/10.1080/02640414.2024.2323849
Learning effects in over-ground gait retraining
A 6-month follow-up of a quasi-randomized controlled trial
DOI:
https://doi.org/10.51224/SRXIV.314Keywords:
Biomechanics, Running, Motor learning, biofeedback, peak tibial accelerationAbstract
Objectives: Real-time feedback on peak tibial acceleration is used in gait retraining programs to reduce impacts. Although the immediate effects of impact reduction in these programs have been evaluated in running, the learning and recall effects are typically neglected. Therefore, the current study aimed to evaluate learning and recall effects six months after a feedback-based retraining program.
Design: A 6-month follow-up of a quasi-randomized controlled trial with and without recall.
Method: Twenty runners with high peak tibial acceleration were assigned to either the experimental or the control group and completed a 3-week running program. A body-worn system collected axial tibial acceleration and provided real-time feedback for six running sessions in an athletic training facility. The experimental group received music-based biofeedback in a faded feedback scheme. The controls received tempo-synchronized music as a placebo for blinding purposes. The peak tibial acceleration and vertical loading rate of the ground reaction force were determined in a lab at baseline and six months after the end of the intervention to assess retention and recall.
Results: No statistically significant changes were found regarding the retention of the impact variables. The impacts of the experimental group substantially decreased at follow-up following a simple verbal recall (i.e., run as at the end of the program): PTAa:-32%, p=0.018; VILR: -34%, p=0.006. The impact magnitudes did not change over time in the control group.
Conclusions: Although the biofeedback-based intervention did not induce clear learning at follow-up, a substantial impact reduction was recallable through simple cueing in the absence of biofeedback.
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References
Creaby MW, Franettovich Smith MM. Retraining running gait to reduce tibial loads with clinician or accelerometry guided feedback. J Sci Med Sport 2015. Doi: 10.1016/j.jsams.2015.05.003.
Clansey AC, Hanlon M, Wallace ES, et al. Influence of Tibial shock feedback training on impact loading and running economy. Med Sci Sports Exerc 2014; 46(5):973–981. Doi: 10.1249/MSS.0000000000000182.
Chan ZY, Zhang JH, Au IP, et al. Gait Retraining for the Reduction of Injury Occurrence in Novice Distance Runners: 1-Year Follow-up of a Randomized Controlled Trial. Am J Sports Med 2018; 46(2):388–395. Doi: 10.1177/0363546517736277.
Morris JB, Goss DL, Miller EM, et al. Using real‐time biofeedback to alter running biomechanics: A randomized controlled trial. Transl Sport Med 2020; 3(1):63–71. Doi: 10.1002/tsm2.110.
Van den Berghe P, Derie R, Bauwens P, et al. Reducing the peak tibial acceleration of running by music‐based biofeedback: A quasi‐randomized controlled trial. Scand J Med Sci Sports 2022; 32(4):698–709. Doi: 10.1111/sms.14123.
Wood CM, Kipp K. Use of audio biofeedback to reduce tibial impact accelerations during running. J Biomech 2014; 47(7):1739–1741. Doi: 10.1016/j.jbiomech.2014.03.008.
Derie R, Van den Berghe P, Gerlo J, et al. Biomechanical adaptations following a music‐based biofeedback gait retraining program to reduce peak tibial accelerations. Scand J Med Sci Sports 2022; 32(7):1142–1152. Doi: 10.1111/sms.14162.
Crowell HP, Davis IS. Gait retraining to reduce lower extremity loading in runners. Clin Biomech 2011; 26(1):78–83. Doi: 10.1016/j.clinbiomech.2010.09.003.
Bowser BJ, Fellin R, Milner CE, et al. Reducing impact loading in runners: A one-year follow-up. Med Sci Sports Exerc 2018; 50(12):2500–2506. Doi: 10.1249/MSS.0000000000001710.
Van den Berghe P, Lorenzoni V, Derie R, et al. Music-based biofeedback to reduce tibial shock in over-ground running: a proof-of-concept study. Sci Rep 2021; 11(1):4091. Doi: 10.1038/s41598-021-83538-w.
Baggaley M, Willy RW, Meardon SA. Primary and secondary effects of real-time feedback to reduce vertical loading rate during running. Scand J Med Sci Sport 2017; 27(5):501–507. Doi: 10.1111/sms.12670.
Davis IS, Futrell E. Gait Retraining: Altering the Fingerprint of Gait. Phys Med Rehabil Clin N Am 2016; 27(1):339–355. Doi: 10.1016/j.pmr.2015.09.002.
Futrell EE, Gross KD, Reisman D, et al. Transition to forefoot strike reduces load rates more effectively than altered cadence. J Sport Heal Sci 2020; 9(3):248–257. Doi: 10.1016/j.jshs.2019.07.006.
Lorenzoni V, Van den Berghe P, Maes P-J, et al. Design and validation of an auditory biofeedback system for modification of running parameters. J Multimodal User Interfaces 2019; 13(3):167–180. Doi: 10.1007/s12193-018-0283-1.
Winstein CJ. Knowledge of results and motor learning - Implications for physical therapy. Phys Ther 1991. Doi: 10.1093/ptj/71.2.140.
Van den Berghe P, Six J, Gerlo J, et al. Validity and reliability of peak tibial accelerations as real-time measure of impact loading during over-ground rearfoot running at different speeds. J Biomech 2019; 86:238–242. Doi: 10.1016/j.jbiomech.2019.01.039.
Van den Berghe P, Gosseries M, Gerlo J, et al. Change-Point Detection of Peak Tibial Acceleration in Overground Running Retraining. Sensors 2020; 20(6):1720. Doi: 10.3390/s20061720.
Norris M, Anderson R, Kenny IC. Method analysis of accelerometers and gyroscopes in running gait : A systematic review 2014; 228(1):3–15. Doi: doi.org/10.1177/1754337113502472.
Jakobsen JC, Gluud C, Wetterslev J, et al. When and how should multiple imputation be used for handling missing data in randomised clinical trials – a practical guide with flowcharts. BMC Med Res Methodol 2017; 17(1):162. Doi: 10.1186/s12874-017-0442-1.
Li X, Yu J, Bai J, et al. The Effect of Real-Time Tibial Acceleration Feedback on Running Biomechanics During Gait Retraining: A Systematic Review and Meta-Analysis. J Sport Rehabil 2023:1–13. Doi: 10.1123/jsr.2022-0279.
Oakes LM. Sample Size, Statistical Power, and False Conclusions in Infant Looking-Time Research. Infancy 2017; 22(4):436–469. Doi: 10.1111/infa.12186.
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Copyright (c) 2023 Pieter Van den Berghe, Rud Derie, Joeri Gerlo, Senne Bonnaerens, Pieter Fiers, Ine Van Caekenberghe, Dirk De Clercq, Veerle Segers (Author)
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