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Results.
Limited evidence supports the effectiveness of transition from rearfoot to forefoot or midfoot strike and increase step rate or altering proximal mechanics in individuals with anterior exertional lower leg pain; and visual and verbal feedback to reduce hip adduction in females with patellofemoral pain. Despite the paucity of clinical evidence, experts recommended running retraining for: iliotibial band syndrome; plantar fasciopathy (fasciitis); Achilles, patellar, proximal hamstring and gluteal tendinopathy; calf pain; and medial tibial stress syndrome. Tailoring approaches to each injury and individual was recommended to optimise outcomes. Substantial evidence exists for the immediate biomechanical effects of running retraining interventions (46 studies), including evaluation of step rate and strike pattern manipulation, strategies to alter proximal kinematics and cues to reduce impact loading variables.
Summary and relevance.
Our synthesis of published evidence related to clinical outcomes and biomechanical effects with expert opinion indicates running retraining warrants consideration in the treatment of lower limb injuries in clinical practice.
In pratica hanno trovato che un cambiamento nello stile di corsa da un stile di classica rullata tacco-punta ad un stile di corsa su avampiede o mesopiede risulta vantaggioso nel trattamento di varie patologie della gamba inferiore - IBS, fascite plantare, tendini di Achille, problemi alla patella, tendinopatia dei glutei e "hamstring" (credo che si dice ischiocruciali in Italiano), muscoli del polpaccio e il sindrome tibiale mediale.
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