Transcript STANCE AND SWING PHASES OF RUNNING. STANCE SWING GOOD RUNNING FORM: what to look for?  Minimal vertical displacement  Cadence  Lean forwards from the ankles 

STANCE AND SWING PHASES OF
RUNNING.
STANCE
SWING
GOOD RUNNING FORM: what to
look for?
 Minimal vertical displacement
 Cadence
 Lean forwards from the ankles
 Foot strike beneath body
 Compact arm positioning
 Relaxed shoulder girdle
COMMON TECHNIQUE FAULTS
Component
Fault
Correction
Trunk
incline/general
posture
•Excessive trunk lean forwards
or backwards
•General posture e.g.
overextended
•Slight forward inclination
•“Imagine running into a stiff
breeze”
•“Ribs down”
•“Chest out”
Arm swing
•“Opening up” arm swing:
arms > 90 degrees, or away
from body
•Hand grip tight
•Arms close to body around 90°
•“Hands to pockets”
•“Potato chip hold”
Hip
flexion/extension
•Inadequate or poorly timed
hip flexion/extension
•Paw-back
Stride length
•Over-striding: initial foot
contact in front of body’s
centre of gravity
•Land with feet under body
•Correct cadence
FUNCTIONAL IMPAIRMENTS:
POSTERIOR VIEW
•
Pelvis/hip/knee:
•
•
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Pelvic heights
Femoral rotation
Hip/knee angle
Trendelenberg – a weakness of hip
abductors (gluteus medius/minimus) on one
side causing contra-lateral lateral drop of
pelvis
Foot/ankle:
•
•
Normal pronation is 6-8 degrees with resupination
Over pronation of ankle/foot – a rolling out
of the heel relative to the leg +/- a collapse
of the arch, leading to late re-supination for
push-off
FUNCTIONAL IMPAIRMENTS:
LATERAL VIEW
 Pelvis/hip:


Normal anterior/posterior tilt – 11° anterior
rotation, 15° with leg extension
Excessive anterior tilt of pelvis –muscle
imbalances of the hip flexor/extensor muscles,
reduced core control
 Knee:


Excessive knee flexion in land
Poor strength/co-control of quads/hamstrings
 Foot/ankle:
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Dorsiflexion control
Listen for “foot slap”
Reduced control often from calf tightness +/tibialis anterior weakness/poor control
COMMON RUNNNG INJURIES
Component
Common diagnoses
Possible impairments
Spine
• Non Specific Low Back Pain
(NSLBP)
• SIJ pain
• Pelvic dysfunction
• Rib pain/subluxation
• Poor TVA/Oblique ratios
• Imbalance through oblique slings
• Hypomobile spinal segments
• Poor spinal awareness
•Tight and short H/S/QL/ES
Hip
• Gluteal tendinopathy
• High hamstring tear/ensethop’
• Femoroacetabular imp’
• Labral tears
• Weak glutes (Neuro/Strength)
• Tight ITB/Overactive TFL/ADD
• Overactive and short H/S
• Poor ant oblique sling co-ord
Knee
• PFPS/ITBFS
• Degenerative meniscal tears
• Patella tendinopathy/bursitis
• a/a
• Weak or poorly timed VMO
• Poor patella position/movements
Foot/Ankle
• Plantar fasciitis
• Achilles/Peroneal/Tib Post
tendinopathies
• Poor arch control/support
• Poor footwear for level of intrinsic
foot strength
• Tight calves
• LL biomechanic (check a/a)
REAL TIME ULTRASOUND
IMAGING
VIDEO ANALYSIS
STRATEGIES FOR CORRECTING
IMPAIRMENTS AND TECHNIQUE
 Strength and/or endurance
 Functional re-education
 Part practice
 Whole practice
QUESTIONS?