Effects of footwear and foot strike patterns on patellofemoral joint and Achilles tendon loading in novice runners and experienced runners

IntroductionThis study aimed to investigate the differences in the loading characteristics of the patellofemoral joint (PFJ) and the Achilles tendon (AT) between novice and experienced runners across different footwear conditions (conventional vs. minimalist shoes) with rearfoot striking (RFS) and f...

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Main Authors: Yuxin Li, Yuhang Nie, Xini Zhang, Yaodong Gu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Sports and Active Living
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fspor.2025.1610514/full
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author Yuxin Li
Yuhang Nie
Xini Zhang
Xini Zhang
Yaodong Gu
Yaodong Gu
author_facet Yuxin Li
Yuhang Nie
Xini Zhang
Xini Zhang
Yaodong Gu
Yaodong Gu
author_sort Yuxin Li
collection DOAJ
description IntroductionThis study aimed to investigate the differences in the loading characteristics of the patellofemoral joint (PFJ) and the Achilles tendon (AT) between novice and experienced runners across different footwear conditions (conventional vs. minimalist shoes) with rearfoot striking (RFS) and forefoot striking (FFS).MethodsEleven male RFS novice runners and experienced runners were randomly asked to run across a force platform at 12 km/h when wearing conventional and minimalist shoes with RFS and FFS, respectively. AT and PFJ loading were estimated from kinematic and kinetic data. The morphological (length and cross-sectional area) of AT in vivo were recorded using ultrasound imaging. Three-way ANOVA was used to determine differences in PFJ and AT loading characteristics.ResultsPatellofemoral contact force and AT impulses were significantly greater (p < 0.05) in novice runners than in experienced runners, regardless of footwear or the foot strike pattern. Regardless of running level, patellofemoral contact force and PFJ stress were significantly lower in FFS than in RFS, whereas AT force, AT impulse, and peak AT stress were significantly greater in FFS than in RFS. Peak impact loading rates were significantly lower in conventional shoes with RFS than in minimalist shoes (p < 0.05).DiscussionNovice runners experienced a significant increase in PFJ and AT loads during running. In addition, FFS increased the impulse, force, and stress on the AT and decreased the PFJ stress. Therefore, novice runners need to gradually adjust their foot strike pattern according to the loading capacity of different joints to reduce the corresponding injury risk.
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spelling doaj-art-152d59a794b04a19b0dfde7d226323602025-08-20T03:47:20ZengFrontiers Media S.A.Frontiers in Sports and Active Living2624-93672025-06-01710.3389/fspor.2025.16105141610514Effects of footwear and foot strike patterns on patellofemoral joint and Achilles tendon loading in novice runners and experienced runnersYuxin Li0Yuhang Nie1Xini Zhang2Xini Zhang3Yaodong Gu4Yaodong Gu5Faculty of Sport Science, Ningbo University, Ningbo, ChinaFaculty of Sport Science, Ningbo University, Ningbo, ChinaFaculty of Sport Science, Ningbo University, Ningbo, ChinaResearch Academy of Grand Health, Ningbo University, Ningbo, ChinaFaculty of Sport Science, Ningbo University, Ningbo, ChinaResearch Academy of Grand Health, Ningbo University, Ningbo, ChinaIntroductionThis study aimed to investigate the differences in the loading characteristics of the patellofemoral joint (PFJ) and the Achilles tendon (AT) between novice and experienced runners across different footwear conditions (conventional vs. minimalist shoes) with rearfoot striking (RFS) and forefoot striking (FFS).MethodsEleven male RFS novice runners and experienced runners were randomly asked to run across a force platform at 12 km/h when wearing conventional and minimalist shoes with RFS and FFS, respectively. AT and PFJ loading were estimated from kinematic and kinetic data. The morphological (length and cross-sectional area) of AT in vivo were recorded using ultrasound imaging. Three-way ANOVA was used to determine differences in PFJ and AT loading characteristics.ResultsPatellofemoral contact force and AT impulses were significantly greater (p < 0.05) in novice runners than in experienced runners, regardless of footwear or the foot strike pattern. Regardless of running level, patellofemoral contact force and PFJ stress were significantly lower in FFS than in RFS, whereas AT force, AT impulse, and peak AT stress were significantly greater in FFS than in RFS. Peak impact loading rates were significantly lower in conventional shoes with RFS than in minimalist shoes (p < 0.05).DiscussionNovice runners experienced a significant increase in PFJ and AT loads during running. In addition, FFS increased the impulse, force, and stress on the AT and decreased the PFJ stress. Therefore, novice runners need to gradually adjust their foot strike pattern according to the loading capacity of different joints to reduce the corresponding injury risk.https://www.frontiersin.org/articles/10.3389/fspor.2025.1610514/fullnovice runnersfoot strike patternAchilles tendonpatellofemoral jointminimalist shoes
spellingShingle Yuxin Li
Yuhang Nie
Xini Zhang
Xini Zhang
Yaodong Gu
Yaodong Gu
Effects of footwear and foot strike patterns on patellofemoral joint and Achilles tendon loading in novice runners and experienced runners
Frontiers in Sports and Active Living
novice runners
foot strike pattern
Achilles tendon
patellofemoral joint
minimalist shoes
title Effects of footwear and foot strike patterns on patellofemoral joint and Achilles tendon loading in novice runners and experienced runners
title_full Effects of footwear and foot strike patterns on patellofemoral joint and Achilles tendon loading in novice runners and experienced runners
title_fullStr Effects of footwear and foot strike patterns on patellofemoral joint and Achilles tendon loading in novice runners and experienced runners
title_full_unstemmed Effects of footwear and foot strike patterns on patellofemoral joint and Achilles tendon loading in novice runners and experienced runners
title_short Effects of footwear and foot strike patterns on patellofemoral joint and Achilles tendon loading in novice runners and experienced runners
title_sort effects of footwear and foot strike patterns on patellofemoral joint and achilles tendon loading in novice runners and experienced runners
topic novice runners
foot strike pattern
Achilles tendon
patellofemoral joint
minimalist shoes
url https://www.frontiersin.org/articles/10.3389/fspor.2025.1610514/full
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